# TRINITY DOCTORS GROUP PA

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

## Provider details

- **NPI number:** 1952564726
- **Authorized official:** DR. JOHN DEAN IBRAHIM M.D. (PRESIDENT)
- **Authorized official phone:** (727) 372-3750

## Contact information

- **Practice address:** 8133 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3000
- **Practice address phone:** (727) 372-3750
- **Practice address fax:** (727) 372-3754
- **Mailing address:** 8133 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3000
- **Mailing address phone:** (727) 372-3750
- **Mailing address fax:** (727) 372-3754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME101502 | FL | Yes |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 04/03/2019
