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NPI Code Detail

MEDICARE: CAROLYN TRAN MD

MEDICARE: CAROLYN 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
1207Q00000XFamily Medicine PhysicianME90207FL

General Provider Information

NPI Number : 1063480242
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN TRAN MD
Provider Business Mailing Address
First Line : PO BOX 44004
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32231-4004
Country : US
Telephone Number : 904-376-3707
Fax Number : 904-262-8205
Provider Business Practice Location Address
First Line : 10337 SAN JOSE BLVD STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-8223
Country : US
Telephone Number : 904-260-3200
Fax Number : 904-262-8205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 11/12/2015

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Directions to “ CAROLYN TRAN MD” Practice Location

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