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NPI Code Detail

MEDICARE: HUAN VU M.D.

MEDICARE: HUAN VU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianME82406FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103279OTHERFLBCBSF GRP# 98513
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3ME82406OTHERFLLICENSE #
4606478700OTHERFLDOL GRP#
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164429874
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUAN VU M.D.
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35246-0100
Country : US
Telephone Number : 888-313-5258
Fax Number : 205-313-5299
Provider Business Practice Location Address
First Line : 615 N BONITA AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-3623
Country : US
Telephone Number : 888-313-5258
Fax Number : 205-313-5299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 03/12/2024

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