Individual
DR. AIMEE LYNN TIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8725 N WICKHAM RD, SUITE 302, MELBOURNE, FL 32940-2239
(321) 434-9561
(321) 434-9231
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9561
(321) 434-9231
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
ME104414
FL
207VG0400X
Gynecology Physician
ME104414
FL
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
ME104414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001261800
—
FL
Enumeration date
06/30/2009
Last updated
03/19/2020
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