Most Relevant Information
Provider Data
| NPI Number: | 1003493685 |
| Provider Name: | DAN KIM PHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | ME169483 |
Most Important Dates
| Enumeration Date: | 03/28/2021 |
| Last Updated: | 07/24/2024 |
Provider Practice Location
1611 NW 12TH AVE
MIAMI
FL
331361005
Practice Location Phone/Fax
| Phone: | 9548020739 |
| Fax: |
Provider Mailing Location
2315 SW 81ST AVE
DAVIE
FL
333245556
Provider Mailing Phone/Fax
| Phone: | 9548020739 |
| Fax: |
Suggested EMR
Pediatrics EMR