Individual
DR. QUANG T TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
724 W 19TH ST, PANAMA CITY, FL 32405-4101
(850) 769-0336
(850) 769-6202
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0067907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040011870
RAILROAD MEDICARE
—
05
—
257724100
—
FL
01
—
26937
BLUE CROSS
—
05
—
378051100
—
FL
Enumeration date
06/13/2006
Last updated
02/14/2020
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