Individual
HAI C. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036098731
IL
207L00000X
Anesthesiology Physician
Primary
ME110160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003664100
—
FL
01
—
14E4K
BLUE CROSS BLUE SHIELD
FL
01
—
593-07069
BLUE CROSS BLUE SHIELD
AL
01
—
593-07070
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/15/2005
Last updated
11/23/2011
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