Individual
DYLAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
1201 W UNIVERSITY DR, EDINBURG, TX 78539-2909
(956) 665-7049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118547
FL
Other
Enumeration date
06/27/2022
Last updated
06/24/2024
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