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NPI Code Detail

MEDICARE: MINH ANDY NGOC DOAN DO

MEDICARE: MINH ANDY NGOC DOAN DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208100000XPhysical Medicine & Rehabilitation PhysicianW4805TX

General Provider Information

NPI Number : 1649920786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINH ANDY NGOC DOAN DO
Provider Business Mailing Address
First Line : 14000 FIVAY RD
Second Line :
City : HUDSON
State : FL
Zip : 34667-7103
Country : US
Telephone Number : 727-819-2966
Fax Number : 727-819-2928
Provider Business Practice Location Address
First Line : 14000 FIVAY RD
Second Line :
City : HUDSON
State : FL
Zip : 34667-7103
Country : US
Telephone Number : 727-819-2966
Fax Number : 727-819-2928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 04/06/2026

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