Individual
VINH LOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1910 SW 18TH CT STE 200, OCALA, FL 34471
(352) 629-7011
(866) 592-7773
Mailing address
5365 W ATLANTIC AVE, STE 504, DELRAY BEACH, FL 33484-8194
(561) 241-9300
(561) 241-9339
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CY173Y
MEDICARE
FL
Enumeration date
02/26/2010
Last updated
01/28/2022
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