MEDICARE: DR. JIM THONG 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
1	207Q00000X	Family Medicine Physician	0101-052994	VA
2	207Q00000X	Family Medicine Physician	ME141960	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902880198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIM THONG TRAN MD

Provider Business Mailing Address
First Line	:	PO BOX 45443
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84145-0443
Country	:	US
Telephone Number	:	904-202-1032
Fax Number	:	904-376-4107

Provider Business Practice Location Address
First Line	:	1747 BAPTIST CLAY DR STE 340
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-8503
Country	:	US
Telephone Number	:	904-264-4405
Fax Number	:	904-391-5380

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	10/01/2019

Similar Medicare Providers

1831179290 — DR. MICHAEL E HERMAN DO
Practice Location Address:

1747 BAPTIST CLAY DR STE 300
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-214-8100
Practice Fax: 904-214-8109

1174595763 — DR. KABIR A YOUSUF MD
Practice Location Address:

1747 BAPTIST CLAY DR STE 320
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-224-5185
Practice Fax: 904-278-7284

1346392800 — SIAN CHISHOLM M.D.
Practice Location Address:

1747 BAPTIST CLAY DR STE 300
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-214-8100
Practice Fax: 904-214-8109

1063611028 — HAROLD DALE BOYD MD
Practice Location Address:

1747 BAPTIST CLAY RD STE 340 , CREDENTIALING DEPARTMENT
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-264-4405
Practice Fax: 904-391-5380

1962653212 — JUDITH G REWIS ARNP
Practice Location Address:

1747 BAPTIST CLAY DR STE 320
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-224-5185
Practice Fax: 904-278-7284

1821304353 — DR. TARUN RAI M.D.
Practice Location Address:

1747 BAPTIST CLAY DR STE 300
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-214-8100
Practice Fax: 904-214-8109

Directions to “ DR. JIM THONG TRAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.