Individual
ANNE PHUONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1302 N PINE HILLS RD, ORLANDO, FL 32808-4817
(407) 445-0790
(407) 440-2833
Mailing address
1302 N PINE HILLS RD, ORLANDO, FL 32808-4817
(407) 445-0790
(407) 440-2833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0007321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254958100
—
FL
Enumeration date
07/31/2006
Last updated
04/01/2014
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