Pham, Minh Cong
Pham, Minh Cong is an sole proprietor health care provider with primary practice located at 2812 W Cervantes St , Pensacola FL 32505-7159. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Pham, Minh Cong can be contacted via phone (850) 429-0474.Contact Information
Primary practice address
2812 W Cervantes St
Pensacola FL 32505-7159
Phone: (850) 429-0474
Fax: (850) 429-7275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME76233 | Florida |
Profile Details
| NPI number | 1750437497 |
|---|---|
| LBN Legal business name | Pham, Minh Cong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 22nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750437497 | NPPES |
| Florida | MEDICAID | 255860200 |
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