Healthcare Provider Details

I. General information

NPI: 1588894877
Provider Name (Legal Business Name): TRIM WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10474 NORTHCLIFFE BLVD
SPRING HILL FL
34608-3666
US

IV. Provider business mailing address

10474 NORTHCLIFFE BLVD
SPRING HILL FL
34608-3666
US

V. Phone/Fax

Practice location:
  • Phone: 352-686-9770
  • Fax: 352-686-9772
Mailing address:
  • Phone: 352-686-9770
  • Fax: 352-686-9772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL PHILLIPS
Title or Position: VICE PRESIDENT
Credential:
Phone: 352-686-9770