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Organization
TRINITY COMMUNITY HEALTH CENTER, LLC.
Active
Organization
TRINITY COMMUNITY HEALTH CENTER, LLC.
Active
Other names
TRINITY COMMUNITY HEALTH CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN CLAUDE MEDINA AP-APRN (ADVANCED PRACTICE REGISTERED NURSE)
(754) 217-3929
Entity
Organization
Contact information
Practice address
3156 S UNIVERSITY DR, MIRAMAR, FL 33025-3001
(786) 234-2519
(786) 590-1903
Mailing address
3156 S UNIVERSITY DR, MIRAMAR, FL 33025-3001
(754) 217-3929
(754) 217-3931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235683822
NPI
FL
01
—
1336371129
DO (DOCTOR OF OSTEOPATHIC)
FL
01
—
1427400720
NPI
FL
Enumeration date
01/27/2021
Last updated
05/10/2023
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