Organization
NGUYEN VU, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGUYEN VU M.D. (PRESIDENT)
(317) 506-3525
Entity
Organization
Contact information
Practice address
1656 S VOLUSIA AVE, ORANGE CITY, FL 32763-7335
(386) 917-0007
(386) 917-0089
Mailing address
1656 S VOLUSIA AVE, ORANGE CITY, FL 32763-7335
(386) 917-0007
(386) 917-0089
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME109751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004451300
—
FL
05
—
005965200
—
FL
Enumeration date
02/16/2012
Last updated
02/04/2013
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