Healthcare Provider Details

I. General information

NPI: 1053061739
Provider Name (Legal Business Name): ANTHONY TRINH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38240 DAUGHTERY RD
ZEPHYRHILLS FL
33540-1367
US

IV. Provider business mailing address

38240 DAUGHTERY RD
ZEPHYRHILLS FL
33540-1367
US

V. Phone/Fax

Practice location:
  • Phone: 813-788-3582
  • Fax:
Mailing address:
  • Phone: 813-788-3582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME174208
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: