John-Paul Pham in Jacksonville - Cardiovascular Disease

John-Paul Pham - NPI 1841491503

John-Paul Pham is a Cardiovascular Disease in Jacksonville, Florida. John-Paul Pham practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for John-Paul Pham is 1841491503. The last update date is 2018-09-27.

John-Paul Pham's current location address is 4141 Southpoint Dr E Ste D, Jacksonville, Florida. You can contact this provider via phone number 9045133179 and fax number 9043371641. The mailing address for John-Paul Pham is 4141 Southpoint Dr E Ste D, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John-Paul Pham
Address 4141 Southpoint Dr E Ste D, Jacksonville, Florida
Phone Number 9045133179
Fax Number 9043371641
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1841491503
Provider Enumeration Date 2007-05-30
Last Updated Date 2018-09-27

Provider Mailing Address Detail

Address 4141 Southpoint Dr E Ste D
City Jacksonville
State Florida (FL)
Post Code 322168061
Phone Number 9045133179
Fax Number 9043371641

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No ME107417
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
004XP FL FLORIDA BLUE - GROUP
DU5524 FL RR MEDICARE - GROUP
0023648-00 FL --
0103467-00 FL FL MEDICAID - GROUP
12815090-15 FL MULTIPLAN
PO1575702 FL RR MEDICARE - INDIVIDUAL
HR822A FL FL MEDICARE - GROUP
835289786A GA --
338492 FL AVMED

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FAQs about John-Paul Pham

What is the unique provider identifier assigned to John-Paul Pham?

The John-Paul Pham has been issued the NPI (National Provider Identifier) 1841491503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where John-Paul Pham is located?

The John-Paul Pham is situated at the following address: 4141 Southpoint Dr E Ste D, Jacksonville, FL, 322168061.

What is John-Paul Pham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John-Paul Pham is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.

On what date was the 1841491503 assigned to John-Paul Pham?

The John-Paul Pham was issued its 1841491503 on 2007-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to John-Paul Pham most recently updated or revised?

The information pertaining to John-Paul Pham, including its address, specialty, and other relevant details, was last updated or revised on 2018-09-27.

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