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NPI Code Detail

MEDICARE: THIEN MINH HUYNH

MEDICARE:   THIEN MINH HUYNH
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
1152W00000XOptometrist6489FL

General Provider Information

NPI Number : 1629810262
Entity Type Code : Individual
Provider Name (Legal Business Name) : THIEN MINH HUYNH
Provider Business Mailing Address
First Line : 2500 W INTERNATIONAL SPEEDWAY BLVD STE 210
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-8146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 W INTERNATIONAL SPEEDWAY BLVD STE 210
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-8146
Country : US
Telephone Number : 386-236-7771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2024
Last Update Date : 06/12/2024

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Directions to “ THIEN MINH HUYNH ” Practice Location

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