Individual
TRINETRA VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N US HIGHWAY 441 STE 531, LADY LAKE, FL 32159-8985
(352) 751-4885
(352) 751-5371
Mailing address
1901 SE 18TH AVE, BUILDING # 400, OCALA, FL 34471-8215
(352) 732-8905
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 94145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42075
BC/BS
FL
Enumeration date
08/29/2006
Last updated
03/28/2018
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