Individual
DR. ANGELA KIM PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4650
(352) 273-9400
Mailing address
PO BOX 100214, GAINESVILLE, FL 32610-0214
(352) 273-9400
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME125159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100258400
—
FL
Enumeration date
08/09/2011
Last updated
01/14/2021
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