Individual
BRIAN ING PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
445 N BRIDGESTONE AVE, SAINT JOHNS, FL 32259-7928
(904) 402-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9601431
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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