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NPI 1780355362

NPI 1780355362 : TRINITY MEDICAL PHYSICIANS, LLC : LAKELAND, FL

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General NPI Number Information
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    NPI Number           |    1780355362
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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     |    09/23/2021
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    Last Update Date     |    01/02/2025
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Provider Practice Location Address
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    Address Line         |    3035 LAKELAND HILLS BLVD STE 4 
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    City                 |    LAKELAND
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    State                |    FL
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    Zip                  |    33805-2201
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    Country              |    US
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    Telephone            |    863-354-3050
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    Fax                  |    863-354-4945
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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            |    863-354-4945
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    Fax                  |    863-354-4945
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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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