Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | ME106749 | FL |
Y | 207VX0000X | Obstetrician | ME106749 | FL |
NPI | 1154510956 |
---|---|
Provider Name | Quyen D Nguyen |
First Address | Tampa, FL 33622-5317 |
Second Address | Orlando, FL 32803-2948 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2007 |
Last Update Date | 24/01/2020 |