Individual
DR. BICH-NGOC THI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11041 COUNTRYWAY BLVD, TAMPA, FL 33626-2628
(813) 749-0844
(813) 749-0846
Mailing address
11041 COUNTRYWAY BLVD, TAMPA, FL 33626-2628
(813) 749-0844
(813) 749-0846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME 101516
FL
207Q00000X
Family Medicine Physician
Primary
ME101516
FL
Other
Enumeration date
11/20/2006
Last updated
07/15/2021
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