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General NPI Number Information
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NPI Number | 1518736461
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Entity Type | Organization
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Legal Business Name | TRINITY MEDICAL PHYSICIANS, LLC
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 105 S DIXIE DR
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City | HAINES CITY
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State | FL
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Zip | 33844-2844
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Country | US
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Telephone | 863-421-1190
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Fax | 863-422-7393
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 321-332-6947
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Fax | 407-286-4515
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW MCBRIEN
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Credential |
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Telephone | 917-716-7176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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