Healthcare Provider Details

I. General information

NPI: 1487507190
Provider Name (Legal Business Name): TRS P3DIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W WILBUR AVE
LAKE MARY FL
32746-2915
US

IV. Provider business mailing address

115 W WILBUR AVE
LAKE MARY FL
32746-2915
US

V. Phone/Fax

Practice location:
  • Phone: 786-972-2926
  • Fax:
Mailing address:
  • Phone: 786-972-2926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TERESA ROJAS-SANCHEZ
Title or Position: MD
Credential: MD
Phone: 786-972-2926