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QUYNH TRAM NHU NGUYEN P.A

Company Details

Entity Name: QUYNH TRAM NHU NGUYEN P.A
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 May 2020 (5 years ago)
Document Number: P20000038984
FEI/EIN Number NOT APPLICABLE
Address: 4050 ISLAND LAKES DR, WINTER HAVEN, FL, 33881
Mail Address: 4050 ISLAND LAKES DR, WINTER HAVEN, FL, 33881
ZIP code: 33881
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578214474 2022-01-12 2022-01-12 4050 ISLAND LAKES DR, WINTER HAVEN, FL, 338815603, US 4050 ISLAND LAKES DR, WINTER HAVEN, FL, 338815603, US

Contacts

Phone +1 469-274-0323

Authorized person

Name DR. QUYNH TRAM NHU NGUYEN
Role PODIATRIST
Phone 4692740323

Taxonomy

Taxonomy Code 213E00000X - Podiatrist
Is Primary Yes

Agent

Name Role Address
NGUYEN QUYNH TRAM N Agent 4050 ISLAND LAKES DR, WINTER HAVEN, FL, 33881

President

Name Role Address
NGUYEN QUYNH TRAM N President 4050 ISLAND LAKES DR, WINTER HAVEN, FL, 33881

Documents

Name Date
ANNUAL REPORT 2024-02-18
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-03-15
Domestic Profit 2020-05-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State