Individual
DR. KIM-PHUNG THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 MEDICAL PARK DR STE 500, TAMPA, FL 33613-6600
(813) 615-7030
(813) 615-8350
Mailing address
3000 MEDICAL PARK DR STE 500, TAMPA, FL 33613-6600
(813) 615-7030
(813) 615-8350
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME127435
FL
390200000X
Student in an Organized Health Care Education/Training Program
2011016860
MO
390200000X
Student in an Organized Health Care Education/Training Program
ME127435
FL
Other
Enumeration date
06/27/2011
Last updated
06/03/2022
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