Provider Demographics
NPI:1164702585
Name:NGUYEN, THUY MINH (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:THUY
Middle Name:MINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 W SPRUCE ST UNIT 216
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-4258
Mailing Address - Country:US
Mailing Address - Phone:417-894-5402
Mailing Address - Fax:
Practice Address - Street 1:2727 W DOCTOR MARTIN LUTHER KING JR BLVD #590
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-534-6269
Practice Address - Fax:813-870-0008
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101019556207T00000X
ORDO186723207X00000X
FLOS15764207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery