Active NPI
Nguyen Vu, MD, PA
- Primary Care Clinic/Center
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME109751
- Legal business name
- NGUYEN VU, MD, PA
- Practice address
- 1656 S Volusia Ave
Orange City, FL 32763-7335 - Phone
- (386) 917-0007
- Fax
- (386) 917-0089
- NPI assigned
- Feb 16, 2012
- Last updated
- Feb 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nguyen Vu, M.D.
- Title
- President
- Phone
- (317) 506-3525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME109751 | FL | Primary |
Addresses
Primary practice location
1656 S Volusia Ave
Orange City, FL 32763-7335
Mailing address
1656 S Volusia Ave
Orange City, FL 32763-7335
Phone (386) 917-0007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005965200 | Medicaid | FL | |
| 004451300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
7209 Curry Ford Rd
Ste C
Orlando, FL 32822
Phone (386) 917-0007
201 Bellagio Cir
Sanford, FL 32771
Phone (386) 917-0007
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Chiropractor
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359936000000",
"number": "1659644987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 S VOLUSIA AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637335",
"telephone_number": "386-917-0007",
"fax_number": "386-917-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 S VOLUSIA AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637335",
"telephone_number": "386-917-0007",
"fax_number": "386-917-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NGUYEN VU, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-16",
"last_updated": "2013-02-04",
"status": "A",
"authorized_official_last_name": "VU",
"authorized_official_first_name": "NGUYEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-506-3525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME109751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005965200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004451300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.