Organization Active NPI

Hieu Trac Nguyen MD PA

Doing business as Altamonte Springs Walk in

  • Clinic/Center
  • Altamonte Springs, FL
National Provider Identifier
1750564886
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME44030 Issued in FL
Legal business name
HIEU TRAC NGUYEN MD PA
Doing business as
Altamonte Springs Walk in
Practice address
499 N Sr 434
Suite 1011
Altamonte Springs, FL 32714-2142
Phone
(407) 788-8118
Fax
(407) 788-8488
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Hieu Trac Nguyen, M.D.
Title
Medical Director
Phone
(407) 788-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME44030 FL Primary

Addresses

Primary practice location

499 N Sr 434
Suite 1011
Altamonte Springs, FL 32714-2142

Mailing address

499 N Sr 434
Suite 1011
Altamonte Springs, FL 32714-2142
Phone (407) 788-8118

Other names 1

  • ALTAMONTE SPRINGS WALK IN Doing business as

National Provider Directory

National Provider Directory

Locations

499 N State Road 434
Ste 1011
Altamonte Springs, FL 32714
Phone (407) 788-8118

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1750564886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 N SR 434",
            "address_2": "SUITE 1011",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142142",
            "telephone_number": "407-788-8118",
            "fax_number": "407-788-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N SR 434",
            "address_2": "SUITE 1011",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142142",
            "telephone_number": "407-788-8118",
            "fax_number": "407-788-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIEU TRAC NGUYEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HIEU",
        "authorized_official_middle_name": "TRAC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-788-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME44030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTAMONTE SPRINGS WALK IN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.