# TRINITY PHYSICIANS, LLC

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

## Provider details

- **NPI number:** 1710084900
- **Authorized official:** MR. BO WILE HADDLE (PROVIDER RELATIONS REP.)
- **Authorized official phone:** (727) 233-7645

## Contact information

- **Practice address:** 7424 COMMUNITY CT, HUDSON, FL 34667-7101
- **Practice address phone:** (727) 233-7645
- **Practice address fax:** (727) 233-7647
- **Mailing address:** 7424 COMMUNITY CT, HUDSON, FL 34667-7101
- **Mailing address phone:** (727) 233-7645
- **Mailing address fax:** (727) 233-7647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | ME029730 | FL | — |
| 302F00000X | Exclusive Provider Organization | — | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/21/2022