Organization
CQB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIEN TRAN PHARMD (MANAGER)
(352) 348-8464
Entity
Organization
Contact information
Practice address
4344 PLACID PL, CLERMONT, FL 34714-6523
(352) 348-8464
Mailing address
4344 PLACID PL, CLERMONT, FL 34714-6523
(352) 348-8464
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PS46838
FL
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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