Duc Le Nguyen Md Pa | |
803 Rosselle St Jacksonville FL 32204-2943 | |
(904) 355-8802 | |
Not Available |
Full Name | Duc Le Nguyen Md Pa |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 803 Rosselle St, Jacksonville, Florida |
Authorized Official Name and Position | Duc Le Nguyen (OWNER) |
Authorized Official Contact | 9043558802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Duc Le Nguyen Md Pa 803 Rosselle St Jacksonville FL 32204-2943 Ph: () - | Duc Le Nguyen Md Pa 803 Rosselle St Jacksonville FL 32204-2943 Ph: (904) 355-8802 |
NPI Number | 1154696417 |
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Provider Enumeration Date | 03/19/2012 |
Last Update Date | 03/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154696417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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