MEDICARE: DR. ERIC PHAN PHARMD

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	183500000X	Pharmacist	PS63015	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PS63015	OTHER		FLORIDA DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1770215584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC PHAN PHARMD

Provider Business Mailing Address
First Line	:	4269 129TH AVE N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-8950
Country	:	US
Telephone Number	:	561-281-3532
Fax Number	:

Provider Business Practice Location Address
First Line	:	6031 CYPRESS GARDENS BLVD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-4115
Country	:	US
Telephone Number	:	863-324-1557
Fax Number	:

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

Provider Enumeration Date	:	06/29/2022
Last Update Date	:	06/29/2022

Similar Medicare Providers

1255338513 — DR. RICHARD B LAKE O.D.
Practice Location Address:

6027 CYPRESS GARDENS BLVD
WINTER HAVEN, FL
33884-4115

Practice Phone: 863-326-5824
Practice Fax:

1891840633 — MORRISON'S SIGHT CENTER INC.
Practice Location Address:

6027 CYPRESS GARDENS BLVD
WINTER HAVEN, FL
33884-4115

Practice Phone: 863-318-1400
Practice Fax: 863-326-5824

1053637421 — MR. JEFFREY JAY DUFF RPH
Practice Location Address:

6015 CYPRESS GARDENS BLVD
WINTER HAVEN, FL
33884-4115

Practice Phone: 863-326-1612
Practice Fax: 863-318-9853

1972841245 — MRS. DANA P ELMORE RPH
Practice Location Address:

6031 CYPRESS GARDENS BLVD
WINTER HAVEN, FL
33884-4115

Practice Phone: 863-324-1557
Practice Fax: 863-325-8271

1184044810 — TEJWATIE PREM RPH
Practice Location Address:

6015 CYPRESS GARDENS BLVD
WINTER HAVEN, FL
33884-4115

Practice Phone: 863-326-1612
Practice Fax:

1093254195 — GABRIELLE OLDHAM
Practice Location Address:

6039 CYPRESS GARDENS BLVD , 299
WINTER HAVEN, FL
33884-4115

Practice Phone: 863-838-0685
Practice Fax:

Directions to “ DR. ERIC PHAN PHARMD” 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 © 2007-2025 (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.