MEDICARE: GYNECOLOGIC ONCOLOGY & UROGYNECOLOGY

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
1	207VX0201X	Gynecologic Oncology Physician	ME50821	FL

General Provider Information

NPI Number	:	1487168233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GYNECOLOGIC ONCOLOGY & UROGYNECOLOGY

Provider Business Mailing Address
First Line	:	4651 SHERIDAN ST STE 470
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3437
Country	:	US
Telephone Number	:	954-986-6667
Fax Number	:	954-893-8459

Provider Business Practice Location Address
First Line	:	4651 SHERIDAN ST STE 470
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3437
Country	:	US
Telephone Number	:	954-986-6667
Fax Number	:	954-893-8459

Authorized Official
Title or Position	:	OWNER/MEDICAL DIRECTOR
Name	:	DR. HOA NGOC NGUYEN
Credential	:	MD
Telephone Number	:	954-986-6667

Provider Enumeration Date	:	11/30/2017
Last Update Date	:	04/11/2025

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