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Individual

CALVIN PHAM TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2020 26TH AVE E, BRADENTON, FL 34208-7753
(941) 782-4600
(941) 782-4601
Mailing address
4310 METRO PKWY, STE 205, FORT MYERS, FL 33916-9416
(239) 236-8784
(239) 790-2624

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS15861
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO5507
FL

Other

Enumeration date
06/27/2017
Last updated
08/16/2021
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