TRIDENT MEDICAL MANAGEMENT INC. NPI 1215237839

NPI Information

NPI: 1215237839
Provider Name: TRIDENT MEDICAL MANAGEMENT, INC.

Doing Business As: TRIDENT WELLNESS CENTER

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
6131 US HIGHWAY 19
NEW PORT RICHEY, FL
ZIP 34652
Phone: (727) 842-6900
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TRIDENT MEDICAL MANAGEMENT, INC. is a pain clinic center in New Port Richey, FL. TRIDENT MEDICAL MANAGEMENT, INC. NPI is 1215237839. The provider is registered as an organization entity type.
The provider Is Doing Business As Trident Wellness Center.

The provider's business location address is:

6131 US HIGHWAY 19
NEW PORT RICHEY, FL
ZIP 34652-527
Phone: (727) 842-6900
Fax: (727) 842-6902

The provider's authorized official is Akinwumi Gammal Aladesawe .
The authorized official title is Medical Director and has the following contact phone number (727) 842-6900.

The enumeration date for this NPI number is 10/29/2010 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME112766	FLORIDA	No
2	261QP3300X	Clinic/Center	Pain	ME112766	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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