Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TAN PHUONG CAO, MD
Active Sole ProprietorMR. TAN PHUONG CAO, MD is a Psychiatry healthcare provider located in MACCLENNY, Florida. NPI 1932217064 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · MACCLENNY, FL
Registration Details
- NPI Number
- 1932217064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2006 (19.818476906948 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ME 45087 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7487 S STATE ROAD 121MACCLENNY, FL, 320635451Browse FL providers · Browse ZIP 32063
- Phone
- 9042596211
- Fax
- 9042597104
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in MACCLENNY, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MUHAMMAD ASGHAR ALI SHAH | M.D. | 1538108410 |
| MR. RANDLY LYSANDER WOODS | MD | 1689680662 |
| MR. SERGIO M. ARCEY | M.D. | 1588770119 |
| DR. JUDITH HALLSTROM | M.D. | 1790892917 |
| MR. TRONG TAN TRAN | MD | 1952419509 |
| MR. JAMES TIMOTHY DAMIANI | M.D. | 1376650069 |
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.