Individual
TIMOTHY DOAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1170 TURTLE CREEK DR APT 1123, NAPLES, FL 34110-9283
(321) 277-7549
Mailing address
1170 TURTLE CREEK DR APT 1123, NAPLES, FL 34110-9283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9456036
FL
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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