Pham, Dat Cao
Pham, Dat Cao is an individual health care provider with primary practice located at 1301 Palm Ave , Jacksonville FL 32207-8432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Pham, Dat Cao can be contacted via phone (904) 202-7300.Contact Information
Primary practice address
1301 Palm Ave
Jacksonville FL 32207-8432
Phone: (904) 202-7300
Fax: (904) 202-7433
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME76623 | Florida |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME76623 | Florida |
Profile Details
NPI number | 1659332831 |
---|---|
LBN Legal business name | Pham, Dat Cao |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2006 |
Last updated | Nov 24th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659332831 | NPPES |
Georgia | MEDICAID | 000948868A | |
Georgia | MEDICAID | 2642018-00 |
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