Individual
BAO TRAM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2350 SUNSET POINT RD STE A, CLEARWATER, FL 33765-1443
(727) 796-0565
(727) 796-7464
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO4053
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2016
Last updated
04/15/2019
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