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Individual

VAN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 836-2645
(407) 836-2672
Mailing address
4549 SADDLEWORTH CIR, ORLANDO, FL 32826-4125
(407) 737-4052
(407) 836-2672

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME0036511
FL
2083P0901X
Public Health & General Preventive Medicine Physician
ME0036511
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0394807-00
FL
Enumeration date
07/18/2006
Last updated
06/17/2008
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