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Khanh Q Nguyen, PAC
Surgical Physician Assistant in Orlando, Florida
NPI 1164417010

Khanh Q Nguyen is a Surgical Physician Assistant based in Wayne, FL and is specialized in Surgical. Khanh Q Nguyen practices in Orlando, FL and has the professional credentials of PAC. The NPI Number for Khanh Q Nguyen is 1164417010 and holds a License No. PA9102312 (Florida).

The current practice location address for Khanh Q Nguyen is 4215 Edgewater Dr, Orlando, FL and can be reached out via phone at 407-539-2000 and via fax at 407-398-0050. You can also correspond with Khanh Q Nguyen through the mailing address at PO BOX 4059, WAYNE, NJ - 07474-4059 (mailing address contact number: 973-826-8291).

Location: 4215 Edgewater Dr, Orlando, FL, 07474-4059
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Provider Profile Details
NPI Number
1164417010
Provider Name
Khanh Q Nguyen
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
4215 Edgewater Dr, Orlando, FL, 07474-4059
Phone Number
407-539-2000
Fax Number
407-398-0050
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U1470Y 01 FL MEDICARE PTAN - QSS SCS
291549900 05 FL
HF826A 01 FL MEDICARE PTAN - GRP QSS SCS
institution
Provider Business Practice Location Address Details
Address
4215 Edgewater Dr
City
State
Zip
32804-2206
Phone Number
407-539-2000
Fax Number
407-398-0050
person
Provider Business Mailing Address Details
Address
4215 Edgewater Dr
City
State
Zip
32804-2206
Phone Number
407-539-2000
Fax Number
407-398-0050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9102312 (Florida)
Definition
Definition to come...
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