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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659332831 NPPES
Georgia MEDICAID 000948868A
Georgia MEDICAID 2642018-00

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