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1467445403
BAO TIEN PHAM
JACKSONVILLE, FL
NPI
1467445403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: FL OS7296)
Enumeration Date
2005-08-24
Last Update Date
2014-11-10
Business Address
Dr. BAO TIEN PHAM D.O
6816 SOUTHPOINT PKWY SUITE 302
JACKSONVILLE, FL 32216-1700
Phone number: 904-527-3135
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Mailing Address
Dr. BAO TIEN PHAM D.O
5377 COMMISSIONERS DR
JACKSONVILLE, FL 32224-0830
Phone number: 904-527-3135
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