Most Relevant Information
Provider Data
| NPI Number: | 1003337304 |
| Provider Name: | THAI QUOC NGUYEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | ME157916 |
Most Important Dates
| Enumeration Date: | 06/28/2017 |
| Last Updated: | 06/17/2024 |
Provider Practice Location
303 N CLYDE MORRIS BLVD
DAYTONA BEACH
FL
321142709
Practice Location Phone/Fax
| Phone: | 3864251997 |
| Fax: |
Provider Mailing Location
303 N CLYDE MORRIS BLVD
DAYTONA BEACH
FL
321142709
Provider Mailing Phone/Fax
| Phone: | 3864254000 |
| Fax: |
Suggested EMR
Internist EMR