Individual
DR. ANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13801 BRUCE B DOWNS BLVD STE 205, TAMPA, FL 33613-3937
(813) 971-4678
(813) 978-8564
Mailing address
13801 BRUCE B DOWNS BLVD STE 205, TAMPA, FL 33613-3937
(813) 971-4678
(813) 482-0036
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3968
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244040700
—
FL
01
—
M2469
MEDICARE GROUP PTAN
FL
01
—
M2475
MEDICARE GROUP PTAN
FL
01
—
M2505
MEDICARE PTAN
FL
01
—
M2506
MEDICARE PTAN
FL
01
—
PO3968
MEDICAL LICENSE
FL
Enumeration date
07/17/2015
Last updated
09/30/2020
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