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NPI Code Detail

MEDICARE: TRENTON MEDICAL CENTER, INC.

MEDICARE: TRENTON MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1114789336
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRENTON MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 23476 NW 186TH AVE
Second Line :
City : HIGH SPRINGS
State : FL
Zip : 32643-0673
Country : US
Telephone Number : 386-454-0698
Fax Number : 386-454-0690
Provider Business Practice Location Address
First Line : 16916 NW US HIGHWAY 441
Second Line :
City : HIGH SPRINGS
State : FL
Zip : 32643-8102
Country : US
Telephone Number : 386-799-2050
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANITA H. REMBERT
Credential :
Telephone Number : 352-463-4501
Provider Enumeration Date : 01/24/2024
Last Update Date : 01/10/2025

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Directions to “TRENTON MEDICAL CENTER, INC. ” Practice Location

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