Individual
THI ANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 PINE RIDGE RD STE 102, NAPLES, FL 34109-3828
(239) 260-7476
(239) 260-7608
Mailing address
3435 PINE RIDGE RD STE 102, NAPLES, FL 34109-3828
(239) 260-7476
(239) 260-7608
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4399
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
08/30/2022
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