Provider Demographics
NPI:1407017411
Name:NGUYEN, HOA H (DC)
Entity Type:Individual
Prefix:
First Name:HOA
Middle Name:H
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:CALVIN
Other - Middle Name:HOA
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:22721 SANDY BAY RD
Mailing Address - Street 2:UNIT 103
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928
Mailing Address - Country:US
Mailing Address - Phone:239-233-7740
Mailing Address - Fax:
Practice Address - Street 1:2301 TAMIAMI TRL
Practice Address - Street 2:SUITE A
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-3907
Practice Address - Country:US
Practice Address - Phone:239-233-7740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10720111N00000X
FLCH 9821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor