Individual
BRYSSON PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
740 DUNLAWTON AVE, PORT ORANGE, FL 32127-4239
(386) 763-1000
(386) 763-0507
Mailing address
10149 MALPAS PT, ORLANDO, FL 32832-6158
(407) 412-8487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS22453
FL
Other
Enumeration date
06/13/2022
Last updated
08/13/2025
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