Pham, Minh Cong

Pham, Minh Cong is an sole proprietor health care provider with primary practice located at 2812 W Cervantes St , Pensacola FL 32505-7159. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Pham, Minh Cong can be contacted via phone (850) 429-0474.

Contact Information

Primary practice address
2812 W Cervantes St Pensacola FL 32505-7159
Phone: (850) 429-0474
Fax: (850) 429-7275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME76233 Florida

Profile Details

NPI number 1750437497
LBN Legal business name Pham, Minh Cong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 22nd, 2010 - about 15 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 1750437497 NPPES
Florida MEDICAID 255860200

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