Individual
DR. NHI THI-HONG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 DEL PRADO BLVD S STE 100, CAPE CORAL, FL 33990-5617
(239) 424-2060
(239) 424-2061
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2060
(239) 424-2061
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301099371
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
78502
GA
207V00000X
Obstetrics & Gynecology Physician
MD454085
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003201376A
—
GA
05
—
107212400
—
FL
Enumeration date
07/08/2011
Last updated
03/29/2021
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