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Organization
PHUOC H PHAM MD
Active
Organization
PHUOC H PHAM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. XUAN-TIEU NGUYEN (OFFICE MANAGER)
(407) 299-3166
Entity
Organization
Contact information
Practice address
819 N PINE HILLS RD, ORLANDO, FL 32808-7234
(407) 299-3166
(407) 299-3172
Mailing address
819 N PINE HILLS RD, ORLANDO, FL 32808-7234
(407) 299-3166
(407) 299-3172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME29863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058604800
—
FL
Enumeration date
05/20/2014
Last updated
05/20/2014
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