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Contact Information

TRIEU DANG, DPM
2627 RIVERSIDE AVE
JACKSONVILLE, FL32204-4712
 Phone: 904-308-7909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TRIEU DANG · (Male)

NPI # 1801204755
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/23/2014
Last updated 07/23/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PR 374
Hospital affiliation(s)
  • LAKE CITY MEDICAL CENTER - (Acute Care)
    340 NW COMMERCE DR
    LAKE CITY, FL 32055
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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