Organization
PREVENTIVE FOOT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHU H NGUYEN DPM (PHYSICIAN)
(305) 854-6600
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE, STE 309, MIAMI, FL 33133-4236
(305) 854-6600
Mailing address
3661 S MIAMI AVE, STE 309, MIAMI, FL 33133-4236
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P00002861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801823778
NPI
FL
05
—
340673300
—
FL
Enumeration date
08/07/2006
Last updated
08/05/2008
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