Healthcare Provider Details

I. General information

NPI: 1992618243
Provider Name (Legal Business Name): TRINITY MEDICAL RESTORATIVE CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6876 SILVER STAR RD FL 32818
ORLANDO FL
32818-3193
US

IV. Provider business mailing address

1746 E SILVER STAR RD STE 569
OCOEE FL
34761-7014
US

V. Phone/Fax

Practice location:
  • Phone: 407-237-7996
  • Fax: 407-237-7996
Mailing address:
  • Phone: 407-237-7996
  • Fax: 407-237-7996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MISS MIRLANDE LOUIS
Title or Position: OWNER
Credential: CHIROPRACTICP.ASSIST
Phone: 407-237-7996