MEDICARE: DR. DAT CAO 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	207R00000X	Internal Medicine Physician	ME76623	FL
2	207RX0202X	Medical Oncology Physician	ME76623	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659332831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAT CAO PHAM MD

Provider Business Mailing Address
First Line	:	PO BOX 746654
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6654
Country	:	US
Telephone Number	:	904-202-2092
Fax Number	:	904-376-4075

Provider Business Practice Location Address
First Line	:	1301 PALM AVE STE 600
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8432
Country	:	US
Telephone Number	:	904-202-7300
Fax Number	:	904-202-2754

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	05/06/2025

Similar Medicare Providers

1922670306 — ANNIE JEANETTE WRIGHT PA-C
Practice Location Address:

1301 PALM AVE STE 500
JACKSONVILLE, FL
32207-8432

Practice Phone: 904-202-7300
Practice Fax: 904-202-2754

1548240765 — DR. SUBRATO JESSE DEB MD
Practice Location Address:

1301 PALM AVE
JACKSONVILLE, FL
32207-8432

Practice Phone: 904-202-7300
Practice Fax: 904-202-2754

1114988409 — DR. BEDFORD HUDSON BERREY MD
Practice Location Address:

1301 PALM AVE
JACKSONVILLE, FL
32207-8432

Practice Phone: 904-202-7300
Practice Fax: 904-202-7433

1528029626 — MS. MALISA MARIE WETMORE PA-C
Practice Location Address:

1301 PALM AVE STE 600
JACKSONVILLE, FL
32207-8432

Practice Phone: 904-202-7300
Practice Fax: 904-202-2754

1235193400 — CHARLES E WOOD PA-C
Practice Location Address:

1301 PALM AVE STE 600
JACKSONVILLE, FL
32207-8432

Practice Phone: 904-202-7300
Practice Fax: 904-202-7433

1396794681 — DR. STEPHEN LESLIE BUCKLEY M.D.
Practice Location Address:

1301 PALM AVE
JACKSONVILLE, FL
32207-8432

Practice Phone: 904-202-7300
Practice Fax: 904-202-7433

Directions to “ DR. DAT CAO 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.