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Individual

DR. ANTONY THANH NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1082 E BRANDON BLVD, BRANDON, FL 33511-5509
(813) 689-9900
(813) 653-9696
Mailing address
1082 E BRANDON BLVD, BRANDON, FL 33511-5509
(813) 689-9900
(813) 653-9696

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME131329
FL
208M00000X
Hospitalist Physician
ME131329
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021638600
FL
01
QV8VB
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/03/2014
Last updated
06/25/2026
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