IndividualActive
Bao Pham, D.O
NPI 1467445403 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Jacksonville, FL
Provider details
- NPI number
- 1467445403
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- Yes
- License
- OS7296 (FL)
Practice location
6816 Southpoint Pkwy
Suite 302
Jacksonville, FL 32216-1700
Phone: (904) 527-3135
Fax: (904) 683-4293
Mailing address
5377 Commissioners Dr
Jacksonville, FL 32224-0830
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2014-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.