Individual
MI NI THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(386) 237-8755
Mailing address
1918 PALMA CEIA ST, PALATKA, FL 32177-5957
(386) 237-8755
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA899
FL
Other
Enumeration date
06/14/2023
Last updated
11/17/2023
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