Individual
DIANNA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 US HIGHWAY 92 W, AUBURNDALE, FL 33823-3921
(863) 229-7512
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS18538
FL
Other
Enumeration date
04/06/2020
Last updated
01/30/2025
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