Individual
MICHAEL NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14901 N DALE MABRY HWY, TAMPA, FL 33618-1801
(813) 960-8318
Mailing address
1335 GALLBERRY CT, TRINITY, FL 34655-4917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5944
FL
Other
Enumeration date
05/21/2021
Last updated
04/01/2022
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