Khai Tran | Winter Park, FL • PECOS Search

Khai Tran

Pharmacist

Pharmacy Service Providers

1920 Aloma Ave, Winter Park, FL 32792-3207

PECOS Enrollment

Based on the most recent information from CMS, provider Khai Tran does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1780967398
Provider Type
Individual
Full Name
Tran, Khai
Gender
Male

Sole Proprietor
No
Enumeration Date
9/21/2011
Last Updated
9/21/2011

Contact Information

Practice Location

1920 Aloma Ave, Winter Park, FL 32792-3207

Unlisted Fax

Mailing Location

1920 Aloma Ave, Winter Park, FL 32792-3207

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License PS31082 Florida