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Organization
TRINITY MEDICAL GROUP
Active
Organization
TRINITY MEDICAL GROUP
Active
Parent organization
PRQ, INC DBA PEDIATRIC PARTNERS OF WH
Other names
PRQ, Inc dba Pediatric Partners of WH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRQ, INC DBA PEDIATRIC PARTNERS OF WH
Authorized official
KELLY A STANWOOD (CLINIC ADMINISTRATOR)
(863) 401-8516
Entity
Organization
Contact information
Practice address
550 POPE AVE, POPE MEDICAL PLAZA, WINTER HAVEN, FL 33881
(863) 293-2144
(863) 293-3732
Mailing address
550 POPE AVE, POPE MEDICAL PLAZA, WINTER HAVEN, FL 33881
(863) 293-2144
(863) 293-3732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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