Provider Demographics
NPI:1811791007
Name:DO, THIEN QUANG (FNP-BC)
Entity type:Individual
Prefix:
First Name:THIEN
Middle Name:QUANG
Last Name:DO
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 OASIS PALM CIR APT 3405
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3391
Mailing Address - Country:US
Mailing Address - Phone:352-209-5025
Mailing Address - Fax:
Practice Address - Street 1:935 OASIS PALM CIR APT 3405
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3391
Practice Address - Country:US
Practice Address - Phone:352-209-5025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2025003771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily