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NPI Code Detail

MEDICARE: ANDY TRAN

MEDICARE:   ANDY  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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1366300816
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDY TRAN
Provider Business Mailing Address
First Line : 2229 SIESTA DR
Second Line :
City : SARASOTA
State : FL
Zip : 34239-5304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5224 STATION WAY
Second Line :
City : SARASOTA
State : FL
Zip : 34233
Country : US
Telephone Number : 941-284-5479
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ ANDY TRAN ” Practice Location

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