Individual
HOA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(321) 214-4903
Mailing address
1618 NORTHGATE MILL DR, DULUTH, GA 30096-8838
(678) 327-9467
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA838
FL
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
07/24/2023
Last updated
09/28/2023
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