Individual
PHILIP V TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(202) 386-0904
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME110599
FL
208M00000X
Hospitalist Physician
Primary
ME110599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090296-00
—
FL
01
—
P01197578
RAILROAD MEDICARE
FL
Enumeration date
07/08/2010
Last updated
08/09/2024
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