MEDICARE: THANH-MINH TRAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP 3522	FL

General Provider Information

NPI Number	:	1316341555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THANH-MINH TRAN

Provider Business Mailing Address
First Line	:	7414 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4812
Country	:	US
Telephone Number	:	561-533-8985
Fax Number	:

Provider Business Practice Location Address
First Line	:	7414 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4812
Country	:	US
Telephone Number	:	561-533-8985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2014
Last Update Date	:	10/17/2014

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