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Individual

DR. CAROL THUY VY TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6801 4TH ST N, ST PETERSBURG, FL 33702
(727) 822-3238
(727) 823-1278
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101261178
VA
207Q00000X
Family Medicine Physician
Primary
ME136037
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100679200
FL
Enumeration date
04/15/2014
Last updated
09/30/2022
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