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NPI Code Detail

MEDICARE: DR. CAROLINE NU NGUYEN-MIN MD

MEDICARE: DR. CAROLINE NU NGUYEN-MIN 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
1207R00000XInternal Medicine PhysicianME118920FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME118920OTHERFLMEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588950265
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINE NU NGUYEN-MIN MD
Provider Business Mailing Address
First Line : 3464 AVALON PARK EAST BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7363
Country : US
Telephone Number : 407-635-3020
Fax Number : 321-203-4607
Provider Business Practice Location Address
First Line : 3464 AVALON PARK EAST BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7363
Country : US
Telephone Number : 407-635-3020
Fax Number : 321-203-4607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2011
Last Update Date : 07/09/2020

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