Provider Demographics
NPI:1942452255
Name:NGUYEN, JOHN QUANG (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:QUANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:SHALIMAR
Mailing Address - State:FL
Mailing Address - Zip Code:32579-0936
Mailing Address - Country:US
Mailing Address - Phone:850-226-8254
Mailing Address - Fax:850-226-6602
Practice Address - Street 1:1823 HURLBURT RD STE 7
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-3748
Practice Address - Country:US
Practice Address - Phone:850-226-8254
Practice Address - Fax:850-226-6602
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2025-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301092671207Q00000X
TXP1906207Q00000X
FLME131654207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine