Lancaster Medical Center Pa | |
713 W Lancaster Rd Orlando FL 32809-5994 | |
(407) 240-9905 | |
(407) 240-6216 |
Full Name | Lancaster Medical Center Pa |
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Speciality | Internal Medicine |
Location | 713 W Lancaster Rd, Orlando, Florida |
Authorized Official Name and Position | Thai Pham (DOCTOR) |
Authorized Official Contact | 4072409905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lancaster Medical Center Pa 713 W Lancaster Rd Orlando FL 32809-5994 Ph: (407) 240-9905 | Lancaster Medical Center Pa 713 W Lancaster Rd Orlando FL 32809-5994 Ph: (407) 240-9905 |
NPI Number | 1982882023 |
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Provider Enumeration Date | 01/31/2008 |
Last Update Date | 05/08/2008 |
Medicare PECOS PAC ID | 8628157245 |
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Medicare Enrollment ID | O20080508000182 |
Identifier | Type | State | Issuer |
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1982882023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | ME0074845 (Florida) | Primary |
Provider Name | Thai Minh Pham |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306869466 PECOS PAC ID: 3173692647 Enrollment ID: I20110811000115 |
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