| Bich-ngoc T. Pham, MD, LLC | |
|
11011 Countryway Blvd Tampa FL 33626-2628 | |
| (813) 749-0844 | |
| (813) 749-0846 |
| Full Name | Bich-ngoc T. Pham, MD, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 11011 Countryway Blvd, Tampa, Florida |
| Authorized Official Name and Position | Bich-ngoc Thi Pham (PHYSICIAN) |
| Authorized Official Contact | 8137490844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bich-ngoc T. Pham, MD, LLC 11011 Countryway Blvd Tampa FL 33626-2628 Ph: (813) 749-0844 | Bich-ngoc T. Pham, MD, LLC 11011 Countryway Blvd Tampa FL 33626-2628 Ph: (813) 749-0844 |
| NPI Number | 1497917082 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 05/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497917082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 101516 (Florida) | Secondary |
| 207Q00000X | Family Medicine | ME101516 (Florida) | Primary |
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