# TRAPEX MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326351677
- **Authorized official:** MR. RONALD VIRGIL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (954) 533-1165

## Contact information

- **Practice address:** 4600 W COMMERCIAL BLVD, SUITE \# 6, TAMARAC, FL 33319-3307
- **Practice address phone:** (954) 533-1165
- **Mailing address:** 4600 W COMMERCIAL BLVD, SUITE \# 6, TAMARAC, FL 33319-3307
- **Mailing address phone:** (954) 533-1165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | FL | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | FL | — |
| 106H00000X | Marriage & Family Therapist | — | FL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | FL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | FL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | FL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | FL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | FL | Yes |

## Other

- **Enumeration date:** 07/15/2010
- **Last updated:** 07/15/2010