Nguyen, Thaiduc

Nguyen, Thaiduc is an individual health care provider with primary practice located at 595 N Courtenay Pkwy Ste 101 , Merritt Island FL 32953-4852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Nguyen, Thaiduc can be contacted via phone (321) 784-8211.

Contact Information

Primary practice address
595 N Courtenay Pkwy Ste 101 Merritt Island FL 32953-4852
Phone: (321) 784-8211
Fax: (321) 394-9425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34 008818 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS13604 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 34008818 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS13604 Florida

Profile Details

NPI number 1912092107
LBN Legal business name Nguyen, Thaiduc
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 15th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912092107 NPPES
Ohio MEDICAID 2699003

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