Male or Other

Justin M. Trant MD

Diagnostic Radiology Physician in Gainesville, FL(View on Map)

Full Name

Justin Matthew Trant MD

NPI Number

1699717215

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/11/2006

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Florida
Texas

License Number

ME100636
M3768

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 918025
1600 SW ARCHER RD

City

Orlando
Gainesville

State

FL
FL

Postal Code

32891-8025
32610-3003

Country

US
US

Telephone Number

(352) 265-0291
(352) 265-0291

Identifiers

Identifier

AL008Z
AL008X

Identifier State

Unknown
Unknown

Identifier Issuer

MEDICARE PIN
MEDICARE PIN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/13/2008

Provider Address

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