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Organization
TRINITY MEDICAL CLINIC PA
Active
Organization
TRINITY MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERCELY RANI DEVABAVUS MD M.D. (DOCTOR)
(352) 666-5665
Entity
Organization
Contact information
Practice address
10425 SPRING HILL DR, SPRING HILL, FL 34608-5043
(352) 666-5665
(352) 666-5122
Mailing address
PO BOX 6117, SPRING HILL, FL 34611-6117
(352) 666-5665
(352) 666-5122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257212500
—
FL
Enumeration date
03/31/2006
Last updated
04/11/2011
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