Healthcare Provider Details

I. General information

NPI: 1780804047
Provider Name (Legal Business Name): HUGH V NGUYEN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 W OLD US HIGHWAY 441
MOUNT DORA FL
32757-3508
US

IV. Provider business mailing address

POST OFFICE BOX 634
MOUNT DORA FL
32756
US

V. Phone/Fax

Practice location:
  • Phone: 352-383-3826
  • Fax:
Mailing address:
  • Phone: 352-383-3826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME96531
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME96531
License Number StateFL

VIII. Authorized Official

Name: DR. HUGH V NGUYEN
Title or Position: OWNER
Credential: MD
Phone: 352-383-3826