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NPI Code Detail

MEDICARE: DR. DZUNG NGUYEN M.D.

MEDICARE: DR. DZUNG NGUYEN M.D.
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
1207QA0505XAdult Medicine PhysicianME0067893FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1593450313OTHERFLPROVIDER FOR COMMERCIAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356376818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DZUNG NGUYEN M.D.
Provider Business Mailing Address
First Line : 2007 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4545
Country : US
Telephone Number : 850-769-5224
Fax Number : 850-769-4515
Provider Business Practice Location Address
First Line : 2007 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4545
Country : US
Telephone Number : 850-769-5224
Fax Number : 850-769-4515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 12/30/2009

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