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NPI Code Detail

MEDICARE: DR. MATHEW L NGUYEN MD

MEDICARE: DR. MATHEW L NGUYEN MD
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
12084P0804XChild & Adolescent Psychiatry PhysicianME80496FL
22084P0800XPsychiatry PhysicianME80496FL

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 : 1083650261
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATHEW L NGUYEN MD
Provider Business Mailing Address
First Line : 4300 SW 13TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-4006
Country : US
Telephone Number : 352-374-5600
Fax Number : 352-265-5425
Provider Business Practice Location Address
First Line : 4300 SW 13TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-4006
Country : US
Telephone Number : 352-374-5600
Fax Number : 352-244-0295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 08/31/2022

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Directions to “ DR. MATHEW L NGUYEN MD” Practice Location

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