Organization
SUNSHINE PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUY NGUYEN DPM (OWNER)
(510) 206-7935
Entity
Organization
Contact information
Practice address
11918 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-6601
(813) 522-6522
(813) 658-6238
Mailing address
6910 NEOPOLITAN CT, APOLLO BEACH, FL 33572-1604
(510) 206-7935
(813) 658-6238
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106709700
—
FL
Enumeration date
05/25/2020
Last updated
08/09/2022
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