DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHUNG DINH PHAN, D.O.

Active

DR. PHUNG DINH PHAN, D.O. is a Family Medicine healthcare provider located in LAKELAND, Florida. NPI 1043567407 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAKELAND, FL

Registration Details

NPI Number
1043567407
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2012 (14.074966954499 yrs)
Last Updated
May 30, 2024
Licenses
1141 (NE)
1141 (NE)
OS20770 (FL)

Practice Information

Address
1625 SHEPHERD RD
LAKELAND, FL, 338112122
Browse FL providers · Browse ZIP 33811
Phone
8632841626
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in LAKELAND, FL

Name Credential NPI
ALVARO JOSE JARQUIN M.D. 1275538894
DR. LUIS CLYDE FAVILLI MD 1013912625
DR. YOUSSEF B GHALY M.D. 1770580334
DR. ROXANN CASTELLI COOK D.O. 1427055318
RICARDO E PEREZ-MONTERO M.D. 1740288240
STEVEN A. TYREE MD 1477554822
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.