Individual
TRI D NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6215 21ST AVE W, SUITE B, BRADENTON, FL 34209-7819
(941) 795-2270
(941) 795-7995
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME34708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225138
AVMED
FL
05
—
276514400
—
FL
01
—
3930481
CIGNA
FL
05
—
39743100
—
FL
01
—
41160
BCBS
FL
01
—
4499014
AETNA
FL
01
—
P01257641
RAILROAD MCR
FL
01
—
P102250
FREEDOM HEALTH
FL
05
—
P304597
—
FL
01
—
P938704
OPTIMUM
FL
Enumeration date
05/12/2006
Last updated
03/05/2014
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