Phan, Lan Tuyet

Phan, Lan Tuyet is an sole proprietor health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Phan, Lan Tuyet can be contacted via phone (321) 868-5871.

Contact Information

Primary practice address
701 W Cocoa Beach Cswy Cocoa Beach FL 32931
Phone: (321) 868-5871
Fax: (321) 868-5852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS7637 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OS 7637 Florida

Profile Details

NPI number 1245497148
LBN Legal business name Phan, Lan Tuyet
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated Mar 3rd, 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 1245497148 NPPES
Florida Other 567240 FL MEDICARE
Florida Other P01711663 FL MEDICARE
Florida MEDICAID 000828200 FL MEDICARE

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