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NPI Code Detail

MEDICARE: ANN TRAN PA

MEDICARE:   ANN  TRAN  PA
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
1363A00000XPhysician AssistantPA9100696FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA9100696OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1407855430
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN TRAN PA
Provider Business Mailing Address
First Line : 1313 GARDEN STONE LN
Second Line :
City : BRANDON
State : FL
Zip : 33510-2654
Country : US
Telephone Number : 813-748-8338
Fax Number : 813-884-5616
Provider Business Practice Location Address
First Line : 5210 WEBB RD
Second Line :
City : TAMPA
State : FL
Zip : 33615-4518
Country : US
Telephone Number : 813-882-9986
Fax Number : 813-884-5616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 11/30/2015

Similar Medicare Providers

1982711925 — DR. THOMAS OWEN MCMEEKIN MD
Practice Location Address:
5210 WEBB RD
TAMPA, FL
33615-4518
Practice Phone: 813-882-9986
Practice Fax: 813-882-9849
1144608894 — SHAMITA PATEL MCMSC, PA-C
Practice Location Address:
5210 WEBB RD
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Practice Fax: 813-882-9849
1609317908 — SHARNEL MARIA REED MSN, APRN, FNP-BC
Practice Location Address:
5210 WEBB RD
TAMPA, FL
33615-4518
Practice Phone: 813-882-9986
Practice Fax: 813-882-9849
1245216092 — DR. DAVID BRETT SABLE MD, PHD
Practice Location Address:
5210 WEBB RD
TAMPA, FL
33615-4518
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Practice Fax: 813-882-9849
1134129505 — DR. PANAYIOTIS VASILOUDES MD, PHD
Practice Location Address:
5210 WEBB RD
TAMPA, FL
33615-4518
Practice Phone: 813-882-9986
Practice Fax: 813-882-9849
1538119722 — ACADEMIC ALLIANCE IN DERMATOLOGY, INC
Practice Location Address:
5210 WEBB RD
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33615-4518
Practice Phone: 813-882-9986
Practice Fax: 813-882-9849

Directions to “ ANN TRAN PA” Practice Location

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