Individual
MRS. QUYNH KHOA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
400 GULF BREEZE PKWY STE 300, GULF BREEZE, FL 32561-4458
(850) 932-5055
(850) 932-1404
Mailing address
PO BOX 280, GULF BREEZE, FL 32562-0280
(850) 932-5055
(850) 932-1404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023018400
—
FL
Enumeration date
10/28/2016
Last updated
11/25/2019
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