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

Mai-Tram Nguyen Phan, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1134688021

Mai-Tram Nguyen Phan, DO is an Obstetrics/Gynecology in Celebration, Florida. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2019, 7 years ago. Practices with Florida Woman Care LLC, a 609-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
FL
In the registry since
2019
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.

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Practice location Address checks out

410 Celebration Pl Ste 208
Celebration, FL 34747-5434
Phone: (407) 566-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence OS19824 (FL)

Record details

NPI number1134688021
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing addressPo Box 818018, Cleveland, OH 44181-8018

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2019 (7 years in practice)
Group practice Florida Woman Care Llc — 609 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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