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Individual

FRANCIS T PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5762
Mailing address
1329 SW 16TH ST RM 2232, GAINESVILLE, FL 32608-1128
(352) 733-0485
(352) 265-8077

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A88708
CA
207L00000X
Anesthesiology Physician
Primary
ME96994
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002004400
MD
05
00A887080
CA
05
010108926
VA
05
035983800
DC
01
242840
KAISER
DC
01
3570718
AETNA HMO
DC
01
666686
NCPPO
DC
01
7171580
AETNA NON HMO
DC
Enumeration date
07/16/2006
Last updated
04/01/2020
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