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NPI Code Detail

MEDICARE: AMY NGUYEN

MEDICARE: AMY NGUYEN
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
1363AS0400XSurgical Physician AssistantPA9115949FL

Other Identifiers

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

General Provider Information

NPI Number : 1033855127
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY NGUYEN
Provider Business Mailing Address
First Line : 4321 N MACDILL AVE STE 407
Second Line :
City : TAMPA
State : FL
Zip : 33607-6396
Country : US
Telephone Number : 813-554-8690
Fax Number : 813-605-6068
Provider Business Practice Location Address
First Line : 4321 N MACDILL AVE STE 407
Second Line :
City : TAMPA
State : FL
Zip : 33607-6396
Country : US
Telephone Number : 813-554-8690
Fax Number : 813-605-6068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2022
Last Update Date : 06/17/2024

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Directions to “ AMY NGUYEN ” Practice Location

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