Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | ME75311 | FL |
NPI | 1033267620 |
---|---|
Provider Name | Dr. Nhung Thi Tran |
First Address | Orlando, FL 32816-8005 |
Second Address | Orlando, FL 32816-8005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |