Healthcare Provider Details

I. General information

NPI: 1720406697
Provider Name (Legal Business Name): FRANCES PHANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE STE 389
ORLANDO FL
32804-4623
US

IV. Provider business mailing address

1111 SHADOW LN
LAS VEGAS NV
89102-2314
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-5214
  • Fax:
Mailing address:
  • Phone: 702-383-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number18898
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME172152
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: