TUAN DUC PHAN (NPI# 1366869299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366869299 |
| Entity Type | Individual |
| Full Name | TUAN DUC PHAN |
| Credential | M.D. |
| Practice Address |
4771 S Cleveland Ave Fort Myers FL 33907-1317 |
| Mailing Address |
P.o. Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439800 |
| Practice Fax Number | 2393439848 |
| Mailing Telephone | 2393439800 |
| Mailing Fax Number | 2393439848 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME130504 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021170700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S Grant Ave, Columbus, OH 432154701 | 6145669718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1477988004 | Tuan Anh Phan | General Practice | 1405 N Bristol St, Santa Ana, CA 92706-3303 | 2013-09-13 |
| 1710081047 | Tuan Van Phan | Family Medicine | 1569 Lexann Ave Ste 120, San Jose, CA 95121-1794 | 2006-09-08 |
| 1689633992 | Tuan Dinh Phan | Family Medicine | 44469 10th St W, Lancaster, CA 93534-3324 | 2006-03-23 |
| 1275180168 | Tuan Phan | Pharmacist | 9000 Rainier Ave S Ste C, Seattle, WA 98118-5017 | 2019-08-25 |
| 1871096578 | Tuan Phan | Pharmacist | 2323 W Edison St, Tulsa, OK 74127-5218 | 2018-03-09 |
| 1336659689 | Tuan Phan | Counselor | 22 Pleasant St, Malden, MA 02148-5119 | 2017-10-01 |
| 1558382150 | Tuan Phan | Family Medicine | 4800 Sand Point Way Ne, M/s R-5438, Seattle, WA 98105 | 2006-07-21 |
| 1396799672 | Tuan Van Phan | Family Medicine | 10362 Bolsa Avenue, Bolsa Medical Group, Westminster, CA 92683-6763 | 2006-05-20 |
| Street Address |
4771 S CLEVELAND AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744827 | Andrew H Singh | Preventive Medicine | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2005-07-18 |
| 1235789926 | Angela Battig | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2019-09-16 |
| 1013422716 | Alex Leyon Lagodzinski | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2017-12-05 |
| 1508395633 | Maria Elisa Marconi | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2017-06-12 |
| 1669924452 | Stacy Parker | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2016-10-27 |
| 1356893499 | Heidi Alexander | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2016-10-25 |
| 1083072094 | Susan Whatley | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2016-02-04 |
| 1740658368 | Brittanee Donovan | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2015-09-14 |
| 1164823043 | Sarah Mcgregor | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2014-09-10 |
| 1740697978 | Lee Memorial Health System | General Practice | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2014-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404809 | Rhc Ft Myers LLC | Family Medicine | 7051 Cypress Ter Ste 106, Fort Myers, FL 33907-8801 | 2020-10-13 |
| 1295373660 | Caloosa Medical Center, LLC | Family Medicine | 14651 Palm Beach Blvd Ste 100, Fort Myers, FL 33905-2331 | 2019-12-17 |
| 1669945119 | Cleveland Rehabilitation Center, LLC | Family Medicine | 35 Barkley Cir Ste 1&2, Fort Myers, FL 33907-7601 | 2019-01-08 |
| 1003388083 | Annie Taylor Millis | Family Medicine | 15420 Cemetery Rd, Fort Myers, FL 33905-7532 | 2019-01-01 |
| 1194189852 | Hailon Wong | Family Medicine | 2780 Cleveland Ave Ste 8709, Fort Myers, FL 33901-5858 | 2016-04-08 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1801154794 | Ashley M Warmoth | Family Medicine | 12545 New Brittany Blvd Ste 26, Fort Myers, FL 33907-3625 | 2012-04-27 |
| 1699055376 | Health Bridges Medical Center | Family Medicine | 4380 Cleveland Ave, C3, Fort Myers, FL 33901 | 2011-08-25 |
| 1548587025 | Carl Russell Gillette | Family Medicine | 15448 Fiddlesticks Blvd, Fort Myers, FL 33912-4022 | 2010-04-23 |
| 1982920625 | Locums Doc Inc | Family Medicine | 8772 Tropical Ct, Fort Myers, FL 33908-9240 | 2010-04-19 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.