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Individual

ANH PHU NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 TAMPA GENERAL CIR, TGH-F170, TAMPA, FL 33606-3571
(813) 844-7412
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME115639
FL
208M00000X
Hospitalist Physician
Primary
ME115639
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008975900
FL
01
14QW6
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/25/2010
Last updated
04/26/2021
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