TRINITY DOCTORS GROUP PA NPI 1952564726

NPI Information

NPI: 1952564726
Provider Name: TRINITY DOCTORS GROUP PA
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 10D1090408

Address:
8133 STATE ROAD 54
NEW PORT RICHEY, FL
ZIP 34655
Phone: (727) 372-3750
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TRINITY DOCTORS GROUP PA is an adult medicine family medicine in New Port Richey, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. TRINITY DOCTORS GROUP PA NPI is 1952564726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8133 STATE ROAD 54
NEW PORT RICHEY, FL
ZIP 34655-000
Phone: (727) 372-3750
Fax: (727) 372-3754

The provider's authorized official is John Dean Ibrahim .
The authorized official title is President and has the following contact phone number (727) 372-3750.

The CLIA number assigned to this NPI record is 10D1090408 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 4/3/2019.

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	207QA0505X	Family Medicine	Adult Medicine	ME101502	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: 4/28/2024

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