Healthcare Provider Details

I. General information

NPI: 1346435575
Provider Name (Legal Business Name): STEVE NGUYEN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5979 VINELAND RD STE 101
ORLANDO FL
32819-7860
US

IV. Provider business mailing address

5979 VINELAND RD STE 101
ORLANDO FL
32819-7860
US

V. Phone/Fax

Practice location:
  • Phone: 407-355-3120
  • Fax: 407-355-3119
Mailing address:
  • Phone: 407-355-3120
  • Fax: 407-355-3119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA RAMOS
Title or Position: OFFICE MANAGER
Credential:
Phone: 707-862-4307