Individual
JOHN TRAN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-5029
Mailing address
96091 ROXABOGUE DR, FERNANDINA BEACH, FL 32034-8141
(904) 415-1383
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11023893
FL
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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