MAI THI TRUC PHUNG


Address: 83 W Miller St, Orlando, FL 32806-2031
Phone: 4078415218

MAI THI TRUC PHUNG (NPI# 1912114216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912114216
Entity Type Individual
Full Name MAI THI TRUC PHUNG
Credential MD
Practice Address 83 W Miller St
Orlando
FL 32806-2031
Mailing Address 1500 Concord Ter
Sunrise
FL 33323-2815
Practice Telephone 4078415218
Practice Fax Number 4076496939
Mailing Telephone 8002433839
Mailing Fax Number 9548580404
Enumeration Date 2007-05-17
Last Update Date 2014-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
ME98813 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 278518800 05

Other Providers MAI PHUNG

NPI Name Taxonomy Address Enumeration
1184645020 Mai T Phung Family Medicine 1910 W Royale Dr, Muncie, IN 47304-2264 2006-07-23

Office Location

Street Address 83 W MILLER ST
City ORLANDO
State FL
Zip Code 32806-2031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821094053 Michael James Stroup Obstetrics & Gynecology 83 W Miller St, Orlando, FL 32806-2028 2005-06-22
1326660978 Jacqueline Frazer Registered Nurse 83 W Miller St, Orlando, FL 32806-2009 2020-05-16
1649892324 Angela Ellen Mckee Registered Nurse 83 W Miller St, Orlando, FL 32806-2031 2020-05-15
1487283024 Darianna Rosado Isales Registered Nurse 83 W Miller St, Orlando, FL 32806-2031 2020-04-06
1891321832 Lauren Nicole Bauler Nurse Anesthetist, Certified Registered 83 W Miller St, Orlando, FL 32806-2031 2020-03-22
1255967451 Da Young Lee Nurse Anesthetist, Certified Registered 83 W Miller St, Orlando, FL 32806-2031 2020-03-19
1134755382 Christina Britt Suhr Nurse Anesthetist, Certified Registered 83 W Miller St, Orlando, FL 32806-2031 2020-03-19
1376174722 Brittany Nichols Simpson Registered Nurse 83 W Miller St, Orlando, FL 32806-2009 2020-02-03
1639717705 Susan Marie Bowles Clinical Nurse Specialist 83 W Miller St, Orlando, FL 32806-2031 2019-12-19
1679111546 Teresa Lance Clinical Nurse Specialist 83 W Miller St, Orlando, FL 32806-2031 2019-12-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710585674 Erika Williams Pharmacist 2715 South Orlando Ave, Orlando, FL 32806 2020-10-13
1013545664 Johanna Yadira Cook Registered Nurse Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 2020-03-30
1396372306 Warren Andrew Williams Student in an Organized Health Care Education/Training Program 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 2020-03-27
1225665433 Astrid Helen Casin Student in an Organized Health Care Education/Training Program 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 2020-03-26
1508404211 Hidden Potential Florida LLC Assistant Behavior Analyst 2857 South Bumby Avenue, Orlando, FL 32806 2019-12-12
1720639883 Cynthia Lee Kling Clinical Nurse Specialist Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 2019-09-20
1033769930 Darleen Ann Williams Clinical Nurse Specialist 52 W. Underwood, Orlando, FL 32806 2019-09-13
1508412644 Trischaday Kimberley Demetrius Nurse Practitioner Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 2019-08-14
1962964809 Ajc Software Inc Prosthetic/Orthotic Supplier 1405 South Orange Avenue Suite 308, Orlando, FL 32806 2019-04-01
1598232852 Sodo Smiles Dentistry, Pa Dentist 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 2018-10-25
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730518085 John J Esslinger Pediatrics 8427 Southpark Cir, Suite 500, Orlando, FL 32819-9058 2013-11-07
1275823247 Sarah A. Bajorek Pediatrics 83 W Miller St # Mp324, Orlando, FL 32806-2031 2011-04-12
1568493310 Hilton M Bernstein Pediatrics 2718 N Orange Ave Ste B, Orlando, FL 32804-7611 2006-07-06
1689146680 Kimberly Turner Pediatrics 13535 Nemours Pkwy, Orlando, FL 32827-7402 2019-01-02
1891159901 Beth Williams Pediatrics 13535 Nemours Pkwy, Orlando, FL 32827-7402 2016-04-06
1588049704 Sheila Stevens-abplanalp Pediatrics 13535 Nemours Pkwy, Orlando, FL 32827-7402 2015-07-29
1023412228 Kimberly Sperber Pediatrics 13535 Nemours Pkwy, Orlando, FL 32827-7402 2014-10-16
1477963262 Jenifer Cuestas Pediatrics 83 W Miller St, Orlando, FL 32806-2009 2014-05-01
1598105801 Stacy Ann Marie Stanford Pediatrics 13535 Nemours Pkwy, Orlando, FL 32827-7402 2013-07-01
1952746703 Johanna Ivich Pediatrics 13535 Nemours Pkwy, Orlando, FL 32827-7402 2013-05-07
Find all providers in ORLANDO

Competitor

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City ORLANDO
Zip Code 32806

Improve Information

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Dataset Information

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.

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