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NPI Code Detail

MEDICARE: DAVID T NGUYEN D.O.

MEDICARE:   DAVID T NGUYEN  D.O.
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
1207R00000XInternal Medicine PhysicianOS-7942FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
258652OTHERFLFLORIDA BLUE

General Provider Information

NPI Number : 1174656151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID T NGUYEN D.O.
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-315-7496
Fax Number :
Provider Business Practice Location Address
First Line : 10799 PARK BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33772-5420
Country : US
Telephone Number : 727-547-8425
Fax Number : 813-635-2699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 12/31/2024

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Directions to “ DAVID T NGUYEN D.O.” Practice Location

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