| Doctor Name: | PHAT TRINH |
| NPI Number: | 1962737908 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | UO2145 |
| Business Practice Address: | 1700 South 23rd Street Fort Pierce, FL - 34950 |
| Business Phone Number: | 7724678201 |
| Business Fax Number: | |
| Mailing Address: | 1613 Harrison Pkwy, Suite 200, Mailstop Sh-9a SUNRISE |
| State: | FL |
| Postal Code: | 333232896 |
| Phone Number: | 9548382371 |
| Fax Number: | 9548511746 |
| NPI Enumeration Date: | 10/08/2009 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | UO2145 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |