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Benjamin Phan
Student in an Organized Health Care Education/Training Program in Orange Park, Florida
NPI 1073191052

Benjamin Phan is a Student in an Organized Health Care Education/Training Program based in Orange Park, FL. Benjamin Phan practices in Orange Park, FL. The NPI Number for Benjamin Phan is 1073191052 and holds a License No. (Florida).

The current practice location address for Benjamin Phan is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-2000 and via fax at 904-639-2015.

Location: 2001 Kingsley Ave, Orange Park, FL, 32073-5148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073191052
Provider Name
Benjamin Phan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2001 Kingsley Ave, Orange Park, FL, 32073-5148
Phone Number
904-639-2000
Fax Number
904-639-2015
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5148
Phone Number
904-639-2000
Fax Number
904-639-2015
person
Provider Business Mailing Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5148
Phone Number
904-639-2000
Fax Number
904-639-2015
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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