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Anhvu Tien Nguyen

Family Medicine

Allopathic & Osteopathic Physicians

13000 Bruce B. Downs Blvd., Tampa, FL 33612

PECOS Enrollment

This provider is enrolled in PECOS as ANH-VU NGUYEN.

Based on the most recent information from CMS, provider Anhvu Tien Nguyen is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1346339546
Provider Type
Individual
Full Name
Nguyen, Anhvu Tien
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/12/2006
Last Updated
7/8/2007

Contact Information

Practice Location

13000 Bruce B. Downs Blvd., Tampa, FL 33612

(727) 398-6661

Unlisted Fax

Mailing Location

10225 Golden Eagle Dr, Seminole, FL 33778-3831

(727) 395-9479

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License ME0074118 Florida

Anhvu Tien Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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