Organization
BICH-NGOC T. PHAM, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BICH-NGOC THI PHAM M.D. (PHYSICIAN)
(813) 749-0844
Entity
Organization
Contact information
Practice address
11011 COUNTRYWAY BLVD, TAMPA, FL 33626-2628
(813) 749-0844
(813) 749-0846
Mailing address
11011 COUNTRYWAY BLVD, TAMPA, FL 33626-2628
(813) 749-0844
(813) 749-0846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
101516
FL
207Q00000X
Family Medicine Physician
Primary
ME101516
FL
Other
Enumeration date
06/26/2008
Last updated
05/07/2014
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