MEDICARE: JAMES NGUYEN DPT

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	225100000X	Physical Therapist	PT39983	FL

General Provider Information

NPI Number	:	1568152452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES NGUYEN DPT

Provider Business Mailing Address
First Line	:	930 SPRING OAK CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-6988
Country	:	US
Telephone Number	:	407-409-2288
Fax Number	:

Provider Business Practice Location Address
First Line	:	626 N ALAFAYA TRL STE 209
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-4353
Country	:	US
Telephone Number	:	407-658-4637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	05/12/2023

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