| NPI | 1417122037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRI T TRAN Managing Member, Owner 352-259-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS5113) |
| Additional Taxonomies | 202K00000X (Licence: FL ME96189) |
| 363A00000X Physician Assistant (Licence: FL PA9101733) | |
| 363A00000X Physician Assistant (Licence: FL PA9101724) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2012-11-28 |