Tran, Quang T

Tran, Quang T is an individual health care provider with primary practice located at 724 W 19Th St , Panama City FL 32405-4101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tran, Quang T can be contacted via phone (850) 769-0336.

Contact Information

Primary practice address
724 W 19Th St Panama City FL 32405-4101
Fax: (850) 769-6202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME0067907 Florida

Profile Details

NPI number 1679516215
LBN Legal business name Tran, Quang T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679516215 NPPES
Florida MEDICAID 378051100
Florida Other 26937
Florida Other 040011870
Florida MEDICAID 257724100

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