Individual
TIEN PHUC DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2351 PHILLIPS RD, TALLAHASSEE, FL 32308-5333
(850) 877-8166
(850) 877-0431
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54248
CT
207RH0003X
Hematology & Oncology Physician
0101267626
VA
207RX0202X
Medical Oncology Physician
Primary
ME162695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101267626
LICENSE
VA
05
—
118279700
—
FL
01
—
54248
LICENSE
CT
Enumeration date
06/06/2014
Last updated
02/19/2026
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