Individual
PHU HOANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3661 S MIAMI AVE, SUITE 309, MIAMI, FL 33133-4236
(305) 854-6600
(305) 854-9777
Mailing address
3661 S MIAMI AVE, SUITE 309, MIAMI, FL 33133-4236
(305) 854-6600
(305) 854-9777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65931
BLUE CROSS BLUE SHIELD
FL
01
—
65931X
MEDICARE
FL
01
—
PO3164
LICENSE
FL
Enumeration date
06/27/2006
Last updated
10/02/2008
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