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

Mr. Tan Phuong Cao, MD

Individual provider Psychiatry Physician · NPI 1932217064

Mr. Tan Phuong Cao, MD is a Psychiatry Physician in Macclenny, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7487 S State Road 121
Macclenny, FL 32063-5451
Phone: (904) 259-6211
Fax: (904) 259-7104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME 45087 (FL)

Record details

NPI number1932217064
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 28, 2006
Last updated in NPPESJuly 8, 2007

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