Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | A100058 | CA |
Y | 207W00000X | Ophthalmologist | ME101560 | FL |
NPI | 1033314703 |
---|---|
Provider Name | My Hanh T. Nguyen |
First Address | Altamonte Springs, FL 32701-4798 |
Second Address | Orlando, FL 32822-8204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 05/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000191100 | (05) | FL |
00A100580 | (05) | CA |
0A1000580 | MEDICAL PIN (01) | CA |
FN0312746 | DEA (01) | FL |