Nguyen, Thanh M

Nguyen, Thanh M is an individual health care provider with primary practice located at 12086 Fort Caroline Rd Ste 401, Jacksonville FL 32225-2687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Nguyen, Thanh M can be contacted via phone (904) 565-1271.

Contact Information

Primary practice address
12086 Fort Caroline Rd Ste 401 Jacksonville FL 32225-2687
Phone: (904) 565-1271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X ME101652 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME101652 Florida

Profile Details

NPI number 1831296656
LBN Legal business name Nguyen, Thanh M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 6th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831296656 NPPES
Florida Other 41503 BCBS / FLORIDA BLUE
Florida MEDICAID 000031000 BCBS / FLORIDA BLUE

Popular Providers