Individual
ALICE PHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 SW 104TH ST, MIAMI, FL 33156-2631
(305) 740-6840
Mailing address
15217 SW 119TH TER, MIAMI, FL 33196-6809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11015755
FL
Other
Enumeration date
10/04/2021
Last updated
02/14/2025
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