Pham, Maikhoi T

Pham, Maikhoi T is an individual health care provider with primary practice located at 538 Se Port St Lucie Blvd , Port St Lucie FL 34984-5108. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Pham, Maikhoi T can be contacted via phone (772) 871-5900.

Contact Information

Primary practice address
538 Se Port St Lucie Blvd Port St Lucie FL 34984-5108
Phone: (772) 871-5900
Fax: (772) 871-1197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2029 Texas
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3506 Florida

Profile Details

NPI number 1811273600
LBN Legal business name Pham, Maikhoi T
Credentials DPM, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2011
Last updated Nov 13th, 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 1811273600 NPPES
Texas MEDICAID 318118202
Texas MEDICAID 318118201
Texas MEDICAID 9426400
Texas Other P01144991

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