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Organization

TRENTON MEDICAL CENTER, INC.

Active
Other names
Palms Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA H. REMBERT (C.E.O.)
(386) 454-0698
Entity
Organization

Contact information

Practice address
173 NW ALBRITTON LN, LAKE CITY, FL 32055-4451
(386) 755-4020
(386) 752-9143
Mailing address
23476 NW 186TH AVE, HIGH SPRINGS, FL 32643-0673
(386) 454-0698
(386) 454-0690

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
FL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029552300
FL
01
101867
MEDICARE NGS
FL
01
97069
BCBSFL
FL
Enumeration date
02/07/2014
Last updated
01/10/2025
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