Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME96531 | FL |
Y | 111NI0900X | Internist | ME96531 | FL |
N | 207RG0300X | Geriatric Medicine | ME96531 | FL |
NPI | 1104931914 |
---|---|
Provider Name | Hugh V Nguyen |
First Address | Mount Dora, FL 32756 |
Second Address | Mount Dora, FL 32757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 22/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276671000 | (05) | FL |
I70739 | (02) | FL |
ME96531 | MEDICAL LICENSE (01) | FL |