Nguyen, Thaiduc
Nguyen, Thaiduc is an individual health care provider with primary practice located at 595 N Courtenay Pkwy Ste 101 , Merritt Island FL 32953-4852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Nguyen, Thaiduc can be contacted via phone (321) 784-8211.Contact Information
Primary practice address
595 N Courtenay Pkwy Ste 101
Merritt Island FL 32953-4852
Phone: (321) 784-8211
Fax: (321) 394-9425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34 008818 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | OS13604 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 34008818 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | OS13604 | Florida |
Profile Details
| NPI number | 1912092107 |
|---|---|
| LBN Legal business name | Nguyen, Thaiduc |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912092107 | NPPES |
| Ohio | MEDICAID | 2699003 |
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