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NPI Code Detail

MEDICARE: DR. LONG V TRAN MD

MEDICARE: DR. LONG V TRAN MD
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
1207R00000XInternal Medicine Physician0060439FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316921935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LONG V TRAN MD
Provider Business Mailing Address
First Line : 2007 PALM BEACH LAKES BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6501
Country : US
Telephone Number : 561-420-8555
Fax Number : 561-420-8550
Provider Business Practice Location Address
First Line : 4714 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-4626
Country : US
Telephone Number : 561-332-4233
Fax Number : 561-640-7506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 05/05/2022

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