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Organization
TRIDENT SPORTS MEDICINE AND REHABILITATION INC.
Active
Organization
TRIDENT SPORTS MEDICINE AND REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F LYNCH DPT (PRESIDENT)
(570) 762-3953
Entity
Organization
Contact information
Practice address
873 HULL RD UNIT 12, ORMOND BEACH, FL 32174-0738
(386) 267-2965
(386) 603-6007
Mailing address
873 HULL RD UNIT 12, ORMOND BEACH, FL 32174-0738
(386) 267-2965
(386) 603-6007
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/20/2023
Last updated
05/08/2024
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