Individual
PHUONG PHAM DONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 843-1110
Mailing address
1 CUTTY SARK RD, SAVANNAH, GA 31410-2912
(912) 508-7194
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1051
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2024
Last updated
02/21/2025
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