Duc Le Nguyen MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DUC LE NGUYEN MD PA

Practice address

803 Rosselle St
Jacksonville, FL 32204-2943

Phone

(904) 355-8802

NPI assigned

Mar 19, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Duc Le Nguyen, MD

Title

Owner

Phone

(904) 355-8802

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1154696417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ROSSELLE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 ROSSELLE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042943",
            "telephone_number": "904-355-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUC LE NGUYEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-355-8802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akhil Dubey, DMD
• Jason Yves Dubois, PHARM.D.
• Anna Dubon
• Henry Nathanael Dubose, BS, RBT
• Kunta-Ali G Dubose
• Jennifer Leigh Ducharme, LMHC
• Sherry Lynn Guyer Duchaussee
• Julianna Rose Duchock
• Molly Duckett, PHARMD
• Laurie J Duckworth, ARNP

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.