# FAMILY & FORENSIC PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144548611
- **Authorized official:** DR. SUSAN TRAN M.D. (PRESIDENT)
- **Authorized official phone:** (352) 337-0551

## Contact information

- **Practice address:** 4965 SW 91ST TER STE A, GAINESVILLE, FL 32608-8155
- **Practice address phone:** (352) 337-0551
- **Practice address fax:** (352) 374-2166
- **Mailing address:** 4965 SW 91ST TER STE A, GAINESVILLE, FL 32608-8155
- **Mailing address phone:** (352) 337-0551
- **Mailing address fax:** (352) 374-2166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084F0202X | Forensic Psychiatry Physician | ME92893 | FL | — |
| 2084P0800X | Psychiatry Physician | ME92893 | FL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | ME92893 | FL | Yes |

## Other

- **Enumeration date:** 05/09/2010
- **Last updated:** 02/11/2014