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Alyssa Pham, DPM
Foot & Ankle Surgery Podiatrist in Fort Myers, Florida
NPI 1316435845

Alyssa Pham is a Foot & Ankle Surgery Podiatrist based in Fort Myers, FL and is specialized in Foot & Ankle Surgery. Alyssa Pham practices in Fort Myers, FL and has the professional credentials of DPM. The NPI Number for Alyssa Pham is 1316435845 and holds a License No. (Florida).

The current practice location address for Alyssa Pham is 8851 Boardroom Cir, Fort Myers, FL and can be reached out via phone at 239-237-0962.

Location: 8851 Boardroom Cir, Fort Myers, FL, 33919-4888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316435845
Provider Name
Alyssa Pham
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
8851 Boardroom Cir, Fort Myers, FL, 33919-4888
Phone Number
239-237-0962
Fax Number
Provider Enumeration Date
04/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8851 Boardroom Cir
City
Fort Myers
State
Florida
Zip
33919-4888
Phone Number
239-237-0962
Fax Number
person
Provider Business Mailing Address Details
Address
8851 Boardroom Cir
City
Fort Myers
State
Florida
Zip
33919-4888
Phone Number
239-237-0962
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO4262 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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