| Mr Tan Phuong Cao, MD | |
|
7487 S State Road 121, Macclenny, FL 32063-5451 | |
| (904) 259-6211 | |
| (904) 259-7104 |
| Full Name | Mr Tan Phuong Cao |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7487 S State Road 121, Macclenny, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932217064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME 45087 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tan Phuong Cao, MD 7487 S State Road 121, Macclenny, FL 32063-5451 Ph: (904) 259-6211 | Mr Tan Phuong Cao, MD 7487 S State Road 121, Macclenny, FL 32063-5451 Ph: (904) 259-6211 |
Mr. James Timothy Damiani, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 990-425-9621 Fax: 904-259-7104 | |
Dr. Muhammad Asghar Ali Shah, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Toribio M Duhaylungsod, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Sergio M. Arcey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Randly Lysander Woods, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Dr. Judith Hallstrom, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Olga Ines Arias, D. O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 |