MEDICARE: MS. THUY 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
1	363LF0000X	Family Nurse Practitioner	APRN11030231	FL

General Provider Information

NPI Number	:	1417726217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THUY TRAN

Provider Business Mailing Address
First Line	:	12107 BLAIREMONT WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-7427
Country	:	US
Telephone Number	:	407-451-6575
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 PARK CENTER DR STE 2J
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-5794
Country	:	US
Telephone Number	:	407-794-9791
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	04/25/2026

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