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NPI Code Detail

MEDICARE: TRAM DINH

MEDICARE: TRAM DINH
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
1183500000XPharmacistPS42824FL

General Provider Information

NPI Number : 1164675211
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAM DINH
Provider Business Mailing Address
First Line : 4435 PRESERVE DR
Second Line : #203
City : MELBOURNE
State : FL
Zip : 32934-8730
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1040 MALABAR RD SE
Second Line :
City : PALM BAY
State : FL
Zip : 32907-3251
Country : US
Telephone Number : 321-723-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2008
Last Update Date : 11/02/2008

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Directions to “ TRAM DINH ” Practice Location

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