| Nguyen Vu, Md, Pa | |
|
1656 S Volusia Ave Orange City FL 32763-7335 | |
| (386) 917-0007 | |
| (386) 917-0089 |
| Full Name | Nguyen Vu, Md, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1656 S Volusia Ave, Orange City, Florida |
| Authorized Official Name and Position | Nguyen Vu (PRESIDENT) |
| Authorized Official Contact | 3175063525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nguyen Vu, Md, Pa 1656 S Volusia Ave Orange City FL 32763-7335 Ph: (386) 917-0007 | Nguyen Vu, Md, Pa 1656 S Volusia Ave Orange City FL 32763-7335 Ph: (386) 917-0007 |
| NPI Number | 1659644987 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659644987 | NPI | - | NPPES |
| 004451300 | Medicaid | FL | |
| 005965200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME109751 (Florida) | Primary |
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