Healthcare Provider Details

I. General information

NPI: 1558175851
Provider Name (Legal Business Name): HOA NGUYEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3539 LITTLE RD
TRINITY FL
34655-1811
US

IV. Provider business mailing address

5350 SPRING HILL DR
SPRING HILL FL
34606-4562
US

V. Phone/Fax

Practice location:
  • Phone: 727-846-9419
  • Fax: 727-816-8707
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9119581
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: