MEDICARE: DR. ELIZABETH MARRON TRINIDAD MD

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	207T00000X	Neurological Surgery Physician	64774	AZ
2	207T00000X	Neurological Surgery Physician	L6684	TX
3	207T00000X	Neurological Surgery Physician	202461	NY
4	207T00000X	Neurological Surgery Physician	ME123443	FL

General Provider Information

NPI Number	:	1336360403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH MARRON TRINIDAD MD

Provider Business Mailing Address
First Line	:	2047 PALM BEACH LAKES BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6522
Country	:	US
Telephone Number	:	561-507-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2047 PALM BEACH LAKES BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6522
Country	:	US
Telephone Number	:	561-507-0800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/30/2025

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