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1366869299
TUAN DUC PHAN
FORT MYERS, FL
NPI
1366869299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME130504)
Enumeration Date
2014-03-28
Last Update Date
2021-03-29
Business Address
TUAN DUC PHAN M.D.
4771 S CLEVELAND AVE
FORT MYERS, FL 33907-1317
Phone number: 239-343-9800
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Mailing Address
TUAN DUC PHAN M.D.
P.O. BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9800
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