MEDICARE: HOA N. NGUYEN MD

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	2086X0206X	Surgical Oncology Physician	ME50821	FL
2	208800000X	Urology Physician	ME50821	FL
3	2088F0040X	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	ME50821	FL
4	207VX0201X	Gynecologic Oncology Physician	ME50821	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	03948	OTHER	FL	BCBS OF FL

General Provider Information

NPI Number	:	1669452983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOA N. NGUYEN MD

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	:	954-983-6665

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	:	954-983-6665

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	11/04/2021

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Directions to “ HOA N. NGUYEN MD” Practice Location

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