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NPI Code Detail

MEDICARE: TRINIDADE D-GEORGES

MEDICARE:   TRINIDADE  D-GEORGES
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1861329427
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINIDADE D-GEORGES
Provider Business Mailing Address
First Line : 4740 N STATE ROAD 7 STE 201
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5839
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4700 N STATE ROAD 7
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5800
Country : US
Telephone Number : 954-731-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

Similar Medicare Providers

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Directions to “ TRINIDADE D-GEORGES ” Practice Location

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