MEDICARE: MR. NHU VAN BUI MD

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
1	208D00000X	General Practice Physician	ME50274	FL

General Provider Information

NPI Number	:	1336279835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NHU VAN BUI MD

Provider Business Mailing Address
First Line	:	10733 56TH STREET
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33782
Country	:	US
Telephone Number	:	727-686-1514
Fax Number	:

Provider Business Practice Location Address
First Line	:	3731 CENTRAL AVE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713
Country	:	US
Telephone Number	:	727-686-1514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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