Nguyen, Khanh Q

Nguyen, Khanh Q is an individual health care provider with primary practice located at 4215 Edgewater Dr , Orlando FL 32804-2206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Nguyen, Khanh Q can be contacted via phone (407) 539-2000.

Contact Information

Primary practice address
4215 Edgewater Dr Orlando FL 32804-2206
Phone: (407) 539-2000
Fax: (407) 398-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102312 Florida

Profile Details

NPI number 1164417010
LBN Legal business name Nguyen, Khanh Q
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Mar 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164417010 NPPES
Florida Other U1470Y MEDICARE PTAN - QSS SCS
Florida MEDICAID 291549900 MEDICARE PTAN - QSS SCS
Florida Other HF826A MEDICARE PTAN - QSS SCS

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