Individual
CANDY VO TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 858-1437
Mailing address
1742 BALSAM WILLOW TRL, ORLANDO, FL 32825-4474
(850) 225-0375
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9114496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112530300
—
FL
Enumeration date
11/12/2021
Last updated
03/28/2022
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