Individual
DR. UT VAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025
(386) 755-3016
(386) 754-6373
Mailing address
2112 NW 47TH PLACE, GAINESVILLE, FL 32605
(352) 371-9750
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME 039407
FL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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