Provider Demographics
NPI:1487168233
Name:GYNECOLOGIC ONCOLOGY & UROGYNECOLOGY
Entity type:Organization
Organization Name:GYNECOLOGIC ONCOLOGY & UROGYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HOA
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-986-6667
Mailing Address - Street 1:4651 SHERIDAN ST STE 470
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3437
Mailing Address - Country:US
Mailing Address - Phone:954-986-6667
Mailing Address - Fax:954-893-8459
Practice Address - Street 1:4651 SHERIDAN ST STE 470
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3437
Practice Address - Country:US
Practice Address - Phone:954-986-6667
Practice Address - Fax:954-893-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50821207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty