| Dr Thomas S Pham, MD | |
|
2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | |
| (239) 652-1800 | |
| (248) 655-0372 |
| Full Name | Dr Thomas S Pham |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 2489 Diplomat Pkwy E, Cape Coral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790776995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301069802 (Michigan) | Secondary |
| 207N00000X | Dermatology | ME118627 (Florida) | Primary |
| Entity Name | Waters Edge Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134148992 PECOS PAC ID: 6901893155 Enrollment ID: O20040428001535 |
| Entity Name | Aqua Dermatology Of Florida, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538270335 PECOS PAC ID: 1153390414 Enrollment ID: O20041002000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas S Pham, MD 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 Ph: (239) 652-1800 | Dr Thomas S Pham, MD 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 Ph: (239) 652-1800 |
Dr. Laura Destefano, DO Dermatology Medicare: Medicare Enrolled Practice Location: 2489 Diplomat Pkwy E, Cape Coral, FL 33909 Phone: 239-652-1800 Fax: 239-652-1930 | |
Thomas Donato Pino, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 632 Del Prado Blvd N, Cape Coral, FL 33909 Phone: 239-829-7102 | |
Janet Flores Cheng, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 326 Del Prado Blvd N, Suite 301, Cape Coral, FL 33909 Phone: 239-458-1131 Fax: 239-458-7789 | |
Dunnett Capdevilla Durando, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 413 Del Prado Blvd S Ste 101, Cape Coral, FL 33990 Phone: 239-443-1500 Fax: 239-443-1510 | |
Dr. Cameron Wales, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14 Del Prado Blvd N Ste 201, Cape Coral, FL 33909 Phone: 239-242-1940 Fax: 239-772-5440 | |
David Flecha, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1839 Hancock Brg Pkwy, Cape Coral, FL 33990 Phone: 239-603-5255 |