Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | OS17219 | FL |
N | 213ES0000X | Sports Medicine | OS17219 | FL |
NPI | 1073014213 |
---|---|
Provider Name | Dr. Alan Manh-Tuong Nguyen |
First Address | South Miami, FL 33143-4701 |
Second Address | South Miami, FL 33143-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2018 |
Last Update Date | 17/11/2021 |