Individual
DR. DONG PHUOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1317 HARWICK LN, ORMOND BEACH, FL 32174-1022
(123) 456-7890
Mailing address
1317 HARWICK LN, ORMOND BEACH, FL 32174-1022
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
229292
MA
207L00000X
Anesthesiology Physician
Primary
ME103775
FL
Other
Enumeration date
01/07/2008
Last updated
08/04/2017
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