Individual
MR. TRI TU TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1050 OLD CAMP RD, SUITE 202, THE VILLAGES, FL 32162-1762
(352) 259-5960
(352) 750-1854
Mailing address
1050 OLD CAMP RD, SUITE 202, THE VILLAGES, FL 32162-1762
(352) 259-5960
(352) 750-1854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101733
FL
363AM0700X
Medical Physician Assistant
PA9101733
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291141800
—
FL
Enumeration date
02/16/2006
Last updated
11/04/2015
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