Luong Phu Nguyen (NPI# 1518120005, PAC ID# 1850540576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
Nation Provider ID (NPI) | 1518120005 |
PAC ID by PECOS | 1850540576 |
Professional Enrollment ID | I20121012000243 |
Full Name | Luong Phu Nguyen |
Organization Legal Name | INFECTIOUS DISEASES CONSULTANTS, P.A. |
Address |
21205 Olean Blvd Suite A Port Charlotte FL 33952-6756 |
Phone Number | 9416132800210 |
Gender | M |
Graduation Year | 2000 |
Primary Specialty | INFECTIOUS DISEASE |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 2860399680 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100077 | BAYFRONT HEALTH PORT CHARLOTTE |
100047 | BAYFRONT HEALTH PUNTA GORDA |
100236 | FAWCETT MEMORIAL HOSPITAL |
100087 | SARASOTA MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
21205 Olean Blvd, Suite A, Port Charlotte, FL 33952-6756 | 9416132800210 | INFECTIOUS DISEASES CONSULTANTS, P.A. |
Organization Legal Name | INFECTIOUS DISEASES CONSULTANTS, P.A. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tomasz Wazny | Infectious Disease | Infectious Diseases Consultants, P.a. | 21205 Olean Blvd, Suite A, Port Charlotte, FL 33952-6756 |
Karl G Damiani | Infectious Disease | Infectious Diseases Consultants, P.a. | 21205 Olean Blvd, Suite A, Port Charlotte, FL 33952-6756 |
Ndubuisi C Edeoga | Infectious Disease | Infectious Diseases Consultants, P.a. | 21205 Olean Blvd, Suite A, Port Charlotte, FL 33952-6756 |
Street Address |
21205 OLEAN BLVD SUITE A |
City | PORT CHARLOTTE |
State | FL |
Zip | 33952-6756 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tomasz Wazny | Infectious Disease | Infectious Diseases Consultants, P.a. | 21205 Olean Blvd, Suite A, Port Charlotte, FL 33952-6756 |
Karl G Damiani | Infectious Disease | Infectious Diseases Consultants, P.a. | 21205 Olean Blvd, Suite A, Port Charlotte, FL 33952-6756 |
Ndubuisi C Edeoga | Infectious Disease | Infectious Diseases Consultants, P.a. | 21205 Olean Blvd, Suite A, Port Charlotte, FL 33952-6756 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
Find all physicians in zip 33952 |
City | PORT CHARLOTTE |
Zip Code | 33952 |
Specialty | INFECTIOUS DISEASE |
City + Specialty | PORT CHARLOTTE + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Luong Phu Nguyen.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.