Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 266149 | NY |
N | 208600000X | Surgeon | 266149 | NY |
N | 208200000X | Surgeon | ME133482 | FL |
N | 208600000X | Surgeon | ME133482 | FL |
Y | 2086X0206X | Surgical Oncologist | ME133482 | FL |
NPI | 1043532377 |
---|---|
Provider Name | Dr. Toan Thien Nguyen |
First Address | Lakeland, FL 33805 |
Second Address | Lakeland, FL 33805-1965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2010 |
Last Update Date | 06/10/2017 |