Individual
JAY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(904) 639-2015
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
UO8274
FL
Other
Enumeration date
03/29/2022
Last updated
12/23/2023
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