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Organization
TRINITY FAMILY EYECARE, P.A.
Active
Organization
TRINITY FAMILY EYECARE, P.A.
Active
Other names
Trinity Optical / Trinity Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ANNE CHURCH O.D. (OWNER/PRESIDENT)
(727) 375-8442
Entity
Organization
Contact information
Practice address
10751 MAPLE CREEK DR, SUITE 104, TRINITY, FL 34655-4412
(727) 375-8442
(727) 375-0942
Mailing address
10751 MAPLE CREEK DR, SUITE 104, TRINITY, FL 34655-4412
(727) 375-8442
(727) 375-0942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3438
FL
332H00000X
Eyewear Supplier
OPC 3438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6205747
—
FL
Enumeration date
03/28/2007
Last updated
08/31/2010
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