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 |
Location | 1656 S Volusia Ave, Orange City, Florida |
Authorized Official Name and Position | Nguyen Vu (PRESIDENT) |
Authorized Official Contact | 3175063525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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 |
Medicare PECOS PAC ID | 1456510742 |
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Medicare Enrollment ID | O20121214000108 |
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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