Individual
PETER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
683 DOUGLAS AVE STE 101, ALTAMONTE SPRINGS, FL 32714-2555
(407) 478-1510
(407) 478-1512
Mailing address
683 DOUGLAS AVE STE 101, ALTAMONTE SPRINGS, FL 32714-2555
(407) 478-1510
(407) 478-1512
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME166357
FL
207R00000X
Internal Medicine Physician
H0071
NC
Other
Enumeration date
03/20/2019
Last updated
05/06/2026
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