Individual
TRI MINH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805-3019
(863) 680-7190
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME98811
FL
207RI0200X
Infectious Disease Physician
Primary
ME98811
FL
207RI0200X
Infectious Disease Physician
ME988811
FL
Other
Enumeration date
09/12/2007
Last updated
11/27/2023
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