Individual
DR. MINH CONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2812 W CERVANTES ST, PENSACOLA, FL 32505-7159
(850) 429-0474
(850) 429-7275
Mailing address
2812 W CERVANTES ST, PENSACOLA, FL 32505-7159
(850) 429-0474
(850) 429-7275
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME76233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255860200
—
FL
Enumeration date
01/26/2007
Last updated
07/22/2010
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