Healthcare Provider Details

I. General information

NPI: 1700457868
Provider Name (Legal Business Name): TRINITY MEDICAL PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 POPE AVE NW STE 200
WINTER HAVEN FL
33881-4679
US

IV. Provider business mailing address

550 POPE AVE NW STE 200
WINTER HAVEN FL
33881-4679
US

V. Phone/Fax

Practice location:
  • Phone: 863-644-7337
  • Fax: 863-646-5189
Mailing address:
  • Phone: 863-644-7337
  • Fax: 863-646-5189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW MCBRIEN
Title or Position: PRESIDENT
Credential:
Phone: 917-716-7176