Phu H Nguyen Dpm Pa | |
3661 S Miami Ave, Suite # 309, Miami, FL 33133-4236 | |
(305) 854-6600 | |
(305) 854-9777 |
Full Name | Phu H Nguyen Dpm Pa |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 3661 S Miami Ave, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073826350 | NPI | - | NPPES |
65931 | Other | BC BS FLA | |
340630000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3164 (Florida) | Primary |
Provider Name | Phu H Nguyen |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1801823778 PECOS PAC ID: 8325051857 Enrollment ID: I20060728000123 |
Provider Name | Karina D Baesso |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1780981035 PECOS PAC ID: 0446438931 Enrollment ID: I20110705000474 |
Provider Name | Sung-ho Bae |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093064529 PECOS PAC ID: 6800048224 Enrollment ID: I20130128000292 |
Mailing Address | Practice Location Address |
---|---|
Phu H Nguyen Dpm Pa 3661 S Miami Ave, Suite # 309, Miami, FL 33133-4236 Ph: (305) 854-6600 | Phu H Nguyen Dpm Pa 3661 S Miami Ave, Suite # 309, Miami, FL 33133-4236 Ph: (305) 854-6600 |
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