Healthcare Provider Details

I. General information

NPI: 1093700965
Provider Name (Legal Business Name): VUONG BINH NGUYEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: STEVE NGUYEN MD

II. Dates (important events)

Enumeration Date: 09/15/2005
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
32819-7800
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 TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberME83185
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME83185
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: