MEDICARE: TRINITY REHAB LLC

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
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1144228560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY REHAB LLC

Provider Business Mailing Address
First Line	:	10224 YALE AVE
Second Line	:
City	:	WEEKI WACHEE
State	:	FL
Zip	:	34613-8375
Country	:	US
Telephone Number	:	352-592-9898
Fax Number	:	352-592-9808

Provider Business Practice Location Address
First Line	:	10224 YALE AVE
Second Line	:
City	:	WEEKI WACHEE
State	:	FL
Zip	:	34613-8375
Country	:	US
Telephone Number	:	325-592-9898
Fax Number	:	352-592-9808

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. VARMAN SOMASUNDARAM
Credential	:
Telephone Number	:	352-592-9898

Provider Enumeration Date	:	07/10/2005
Last Update Date	:	05/27/2009

Similar Medicare Providers

1174526040 — DR. JOEL MENDOZA NUNAG M.D.
Practice Location Address:

10222 YALE AVE
WEEKI WACHEE, FL
34613-8375

Practice Phone: 352-597-9797
Practice Fax: 352-597-5556

1427051150 — DR. CLEMENTE PINEDA NUNAG M.D.
Practice Location Address:

10222 YALE AVE
WEEKI WACHEE, FL
34613-8375

Practice Phone: 352-597-9797
Practice Fax: 352-597-5556

1417950148 — DR. RANDOLPH MENDOZA NUNAG
Practice Location Address:

10222 YALE AVE
WEEKI WACHEE, FL
34613-8375

Practice Phone: 352-597-9797
Practice Fax: 352-597-5556

1134121395 — DR. MARK ALAN DENNER D.O
Practice Location Address:

10200 YALE AVE
WEEKI WACHEE, FL
34613-8375

Practice Phone: 352-597-1960
Practice Fax: 352-597-9470

1972575389 — IVAN DIAZ MD
Practice Location Address:

10200 YALE AVE
WEEKI WACHEE, FL
34613-8375

Practice Phone: 352-597-1960
Practice Fax: 352-597-9470

1780645333 — CLEMENTE P NUNAG MD PA
Practice Location Address:

10222 YALE AVE
WEEKI WACHEE, FL
34613-8375

Practice Phone: 352-597-9797
Practice Fax: 352-597-5556

Directions to “TRINITY REHAB LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.