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Individual

DR. DIEN NGOC VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 W DR MLK BLVD FL JRBLVD4, TAMPA, FL 33607-6307
(813) 350-7244
(813) 350-7246
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME65323
FL
207LP3000X
Pediatric Anesthesiology Physician
35.131901
OH
207LP3000X
Pediatric Anesthesiology Physician
50789
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376289100
FL
Enumeration date
01/20/2006
Last updated
03/12/2025
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