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Organization
MAIKA HEALTHCARE, LLC
Active
Organization
MAIKA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEN MARK DUC TRAN M.D. (SOLE OFFICER)
(850) 939-9876
Entity
Organization
Contact information
Practice address
7552 NAVARRE PKWY, SUITE # 13, NAVARRE, FL 32566-7305
(850) 939-9876
(850) 939-9877
Mailing address
7552 NAVARRE PKWY, SUITE # 13, NAVARRE, FL 32566-7305
(850) 939-9876
(850) 939-9877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME90850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271356000
—
FL
01
—
U3213Y
MEDICARE IDENTIFICATION NUMBER
—
Enumeration date
07/10/2006
Last updated
09/15/2008
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