Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 71823 | GA |
Y | 207X00000X | Orthopaedic Surgeon | OS12020 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | 71823 | GA |
NPI | 1265698294 |
---|---|
Provider Name | Dr. Dzi-Viet P Nguyen |
First Address | St Petersburg, FL 33703-3802 |
Second Address | St Petersburg, FL 33703-3802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 27/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003148610A | (05) | GA |
008892100 | (05) | FL |
14P72 | BCBS (01) | FL |
202I202725 | (02) | GA |