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Dr. Phung Dinh Phan, DO
Family Medicine Physician in Lakeland, Florida
NPI 1043567407

Phung Dinh Phan is a Family Medicine Physician based in Apo, FL. Phung Dinh Phan practices in Lakeland, FL and has the professional credentials of DO. The NPI Number for Phung Dinh Phan is 1043567407 and holds a License No. 1141 (Florida).

The current practice location address for Phung Dinh Phan is 1625 Shepherd Rd, Lakeland, FL and can be reached out via phone at 863-284-1626.

Location: 1625 Shepherd Rd, Lakeland, FL, 09112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043567407
Provider Name
Phung Dinh Phan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1625 Shepherd Rd, Lakeland, FL, 09112
Phone Number
863-284-1626
Fax Number
Provider Enumeration Date
08/04/2012
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
1625 Shepherd Rd
City
Lakeland
State
Florida
Zip
33811-2122
Phone Number
863-284-1626
Fax Number
person
Provider Business Mailing Address Details
Address
1625 Shepherd Rd
City
Lakeland
State
Florida
Zip
33811-2122
Phone Number
863-284-1626
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
1141 (Nebraska)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
1141 (Nebraska)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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