Individual
LEE NGUYEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
621 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 755-3500
(813) 755-3300
Mailing address
621 W LUMSDEN RD, BRANDON, FL 33511-5911
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
OS19660
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2016
Last updated
05/23/2023
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