Individual
DINH QUOC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1880 E COMMERCIAL BLVD STE 3, FORT LAUDERDALE, FL 33308-3747
(954) 938-8998
(954) 901-2838
Mailing address
2098 NE 54TH ST, FORT LAUDERDALE, FL 33308-3158
(954) 938-8998
(954) 281-5408
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME82117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267997300
—
FL
Enumeration date
05/24/2005
Last updated
10/11/2023
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