Healthcare Provider Details

I. General information

NPI: 1962343491
Provider Name (Legal Business Name): JINCY DANIEL DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10720 STATE ROAD 54 STE 101
TRINITY FL
34655-2264
US

IV. Provider business mailing address

10720 STATE ROAD 54 STE 101
TRINITY FL
34655-2264
US

V. Phone/Fax

Practice location:
  • Phone: 727-372-9955
  • Fax: 727-372-7273
Mailing address:
  • Phone: 727-372-9955
  • Fax: 727-372-7273

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: DR. JINCY DANIEL
Title or Position: PRESIDENT
Credential: DMD
Phone: 727-372-9955