Search › Florida › 207Q00000X
Phung Phan, D.O
NPI 1043567407 · on the registry since 2012
Practice
- Address
- 1625 Shepherd Rd
Lakeland, FL 33811 - Phone
- (863) 284-1626
Additional practice sites
- Unit 28130, Building 475, Apo, AE
- 3030 Harden Blvd, Lakeland, FL
- 4710 S Florida Ave, Lakeland, FL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 171000000X
207Q00000X - Licence states on file
- NE, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida