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Dr. Ngoclan Thi Dinh
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Ngoclan Thi Dinh |
| Gender: | F |
| Provider License Number If Given: | ME0052058 |
NPI Information:
| NPI: | 1205821782 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 4/18/2012 |
Provider Business Mailing Address:
| Address: | 4800 BELFORT RD Jacksonville, FL 32256 |
| Phone Number: | 9043987205 |
| Fax Number: | 9042656409 |
Provider Business Practice Location Address:
| Address: | 3599 UNIVERSITY BLVD S SUITE 911 Jacksonville, FL 32216 |
| Phone Number: | 9043460330 |
| Fax Number: | 9043460450 |
Provider Taxonomy:
| Primary: | 207RG0100X |
| Secondary (if any): | |
| State: | FL |
