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NPI Code Detail

MEDICARE: ANTONIO TRINDADE M.D.

MEDICARE: ANTONIO TRINDADE M.D.
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
1207RH0003XHematology & Oncology PhysicianME46615FL

General Provider Information

NPI Number : 1306842836
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIO TRINDADE M.D.
Provider Business Mailing Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line : ATTN: MEDICAL STAFF OFFICE
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3525 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-1965
Country : US
Telephone Number : 863-603-6565
Fax Number : 863-904-1961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/29/2015

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Directions to “ ANTONIO TRINDADE M.D.” Practice Location

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