Organization
DEPARTMENTF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAM NGUYEN M.D (PRIMARY CARE PROVIDER)
(386) 755-3016
Entity
Organization
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
(386) 754-6373
Mailing address
3661 NW 64TH LN, GAINESVILLE, FL 32653-8870
(352) 379-1437
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME74202
FL
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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