| Vietmed Llc | |
|
6500 W Newberry Rd Gainesville FL 32605-4309 | |
| (352) 333-4900 | |
| Not Available |
| Full Name | Vietmed Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6500 W Newberry Rd, Gainesville, Florida |
| Authorized Official Name and Position | Vietdung Nguyen (OWNER) |
| Authorized Official Contact | 8888983294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vietmed Llc Po Box 143096 Gainesville FL 32614-3096 Ph: () - | Vietmed Llc 6500 W Newberry Rd Gainesville FL 32605-4309 Ph: (352) 333-4900 |
| NPI Number | 1891134649 |
|---|---|
| Provider Enumeration Date | 06/14/2013 |
| Last Update Date | 06/14/2013 |
| Medicare PECOS PAC ID | 1153563598 |
|---|---|
| Medicare Enrollment ID | O20130814000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891134649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vietdung Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508056458 PECOS PAC ID: 5799870366 Enrollment ID: I20070927000886 |
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