Provider Demographics
NPI:1871844654
Name:TRAN, PHU (DC)
Entity Type:Individual
Prefix:
First Name:PHU
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9724 N ARMENIA AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7550
Mailing Address - Country:US
Mailing Address - Phone:813-530-9300
Mailing Address - Fax:813-933-0968
Practice Address - Street 1:9724 N ARMENIA AVE STE 400
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7550
Practice Address - Country:US
Practice Address - Phone:813-530-9300
Practice Address - Fax:813-933-0968
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
FLCH10655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist