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Individual

PHUONG MY FLANAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(855) 979-5700
(855) 979-5701
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME120139
FL
208M00000X
Hospitalist Physician
Primary
ME120139
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013411200
FL
01
14XW1
BCBSFL
FL
Enumeration date
08/10/2011
Last updated
02/06/2024
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