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1912114216
MAI THI TRUC PHUNG
ORLANDO, FL
NPI
1912114216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL ME98813)
Enumeration Date
2007-05-17
Last Update Date
2014-06-27
Business Address
-- MAI THI TRUC PHUNG MD
83 W MILLER ST
ORLANDO, FL 32806-2031
Phone number: 407-841-5218
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Mailing Address
-- MAI THI TRUC PHUNG MD
1500 CONCORD TER
SUNRISE, FL 33323-2815
Phone number: 800-243-3839
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