MEDICARE: KAREN L PHAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME92073	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14Q67	OTHER	FL	FL BC

General Provider Information

NPI Number	:	1326046756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN L PHAM MD

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:

Provider Business Practice Location Address
First Line	:	2343 AARON ST
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-5305
Country	:	US
Telephone Number	:	941-629-2900
Fax Number	:	941-629-6920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2005
Last Update Date	:	09/16/2021

Similar Medicare Providers

1053808618 — DR. BERNARD BAROUDI
Practice Location Address:

2343 AARON ST
PORT CHARLOTTE, FL
33952-5305

Practice Phone: 855-979-5700
Practice Fax: 855-979-5701

1487648556 — DR. JOHN M HARRIS MD
Practice Location Address:

2343 AARON ST
PORT CHARLOTTE, FL
33952-5305

Practice Phone: 855-979-5700
Practice Fax: 855-979-5701

1245225895 — DR. GLADYS PEREZ M.D.
Practice Location Address:

2315 AARON ST
PORT CHARLOTTE, FL
33952-5305

Practice Phone: 941-979-5700
Practice Fax: 941-613-1387

1922085943 — GEORGE E NACKLEY M.D.
Practice Location Address:

2343 AARON ST
PORT CHARLOTTE, FL
33952-5305

Practice Phone: 941-629-2900
Practice Fax: 941-629-6920

1942269428 — VLADIMIR J DINOLOV MD
Practice Location Address:

2343 AARON ST
PORT CHARLOTTE, FL
33952-5305

Practice Phone: 941-629-2900
Practice Fax: 941-629-6143

1902859739 — TIMOTHY FRANCIS PA
Practice Location Address:

2335 AARON ST
PORT CHARLOTTE, FL
33952-5305

Practice Phone: 855-979-5700
Practice Fax: 855-979-5701

Directions to “ KAREN L PHAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.