BAO TIEN PHAM

JACKSONVILLE, FL
NPI1467445403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: FL  OS7296)
Enumeration Date2005-08-24
Last Update Date2014-11-10
Business Address
Dr. BAO TIEN PHAM D.O
6816 SOUTHPOINT PKWY SUITE 302
JACKSONVILLE, FL 32216-1700
Phone number: 904-527-3135
Mailing Address
Dr. BAO TIEN PHAM D.O
5377 COMMISSIONERS DR
JACKSONVILLE, FL 32224-0830
Phone number: 904-527-3135
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