Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Phung Dinh Phan, DO

Individual provider Military Health Care Provider · NPI 1043567407

Dr. Phung Dinh Phan, DO is a Family Practice in Lakeland, Florida. Graduated from Lake Erie Col of Osteopathic Medicine, Bradenton in 2012, 14 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Nebraska.

Years since qualifying
14
Trained at
Lake Erie Col of Osteopathic Medicine, Bradenton
Licensed in
FL, NE
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1625 Shepherd Rd
Lakeland, FL 33811-2122
Phone: (863) 284-1626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • Unit 28130, Building 475, Apo, AE 09114 — (314) 590-3176
  • 3030 Harden Blvd, Lakeland, FL 33803-7952 — (863) 284-5000
  • 4710 S Florida Ave, Lakeland, FL 33813-2165 — (863) 284-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS20770 (FL)
Military Health Care Provider Taxonomy 171000000X · Licence 1141 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1141 (NE)

Record details

NPI number1043567407
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 4, 2012
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing addressUnit 28038 Bld 700, Apo, AE 09112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2012 (14 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lakeland