Individual
LY THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4691 OLD CANOE CREEK ROAD, ST CLOUD, FL 34769
(407) 891-2010
(407) 891-8211
Mailing address
4691 OLD CANOE CREEK ROAD, ST CLOUD, FL 34769
(407) 891-2010
(407) 891-8211
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 94908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 94908
MEDICAL LICENSE NUMBER
FL
Enumeration date
06/26/2006
Last updated
03/07/2023
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