Organization
FAMILY & FORENSIC PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN TRAN M.D. (PRESIDENT)
(352) 337-0551
Entity
Organization
Contact information
Practice address
4965 SW 91ST TER STE A, GAINESVILLE, FL 32608-8155
(352) 337-0551
(352) 374-2166
Mailing address
4965 SW 91ST TER STE A, GAINESVILLE, FL 32608-8155
(352) 337-0551
(352) 374-2166
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
ME92893
FL
2084P0800X
Psychiatry Physician
ME92893
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME92893
FL
Other
Enumeration date
05/09/2010
Last updated
02/11/2014
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