| NPI | 1497917082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BICH-NGOC THI PHAM Physician 813-749-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME101516) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 101516) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2014-05-07 |