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TRILLIUM MEDICAL GROUP OF FLORIDA NPI 1285835322


NPI Information

NPI: 1285835322
Provider Name: TRILLIUM MEDICAL GROUP OF FLORIDA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1843 COLLIER PKWY
LUTZ, FL
ZIP 33549
Phone: (800) 750-8103
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TRILLIUM MEDICAL GROUP OF FLORIDA is a general practice in Lutz, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TRILLIUM MEDICAL GROUP OF FLORIDA NPI is 1285835322. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1843 COLLIER PKWY
LUTZ, FL
ZIP 33549-718
Phone: (800) 750-8103
Fax: (866) 788-0863

The provider's authorized official is Bobby L Coates .
The authorized official title is President and has the following contact phone number (727) 403-5221.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.


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
1208D00000XGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.