Individual
DR. JOHN-PAUL PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8075 GATE PKWY W STE 302, JACKSONVILLE, FL 32216-3685
(904) 513-3179
(904) 337-1641
Mailing address
8075 GATE PKWY W STE 302, JACKSONVILLE, FL 32216-3685
(904) 513-3179
(904) 337-1641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME107417
FL
207RC0000X
Cardiovascular Disease Physician
ME107417
FL
207RI0011X
Interventional Cardiology Physician
35.123904
OH
207RI0011X
Interventional Cardiology Physician
Primary
ME107417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004XP
FLORIDA BLUE - GROUP
FL
05
—
016132100
—
FL
05
—
024325000
—
FL
05
—
024325001
—
FL
01
—
12815090-15
MULTIPLAN
FL
01
—
338492
AVMED
FL
05
—
835289786A
—
GA
01
—
DI920A
FL MEDICARE - INDIVIDUAL
FL
01
—
DU5524
RR MEDICARE - GROUP
FL
01
—
HR822A
FL MEDICARE - GROUP
FL
01
—
ONK5E
FLORIDA BLUE
FL
01
—
PO1575702
RR MEDICARE - INDIVIDUAL
FL
Enumeration date
05/30/2007
Last updated
09/22/2025
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