Tran, Tri Tu

Tran, Tri Tu is an sole proprietor health care provider with primary practice located at 1050 Old Camp Rd Suite 202, The Villages FL 32162-1762. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Tran, Tri Tu can be contacted via phone (352) 259-5960.

Contact Information

Primary practice address
1050 Old Camp Rd Suite 202 The Villages FL 32162-1762
Phone: (352) 259-5960
Fax: (352) 750-1854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101733 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101733 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101733 Florida

Profile Details

NPI number 1780658500
LBN Legal business name Tran, Tri Tu
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2006
Last updated Nov 4th, 2015 - about 9 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 1780658500 NPPES
Florida MEDICAID 291141800

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