Individual
JONAS TRINIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8300 SW 172ND ST, PALMETTO BAY, FL 33157-4737
(850) 672-9442
Mailing address
8300 SW 172ND ST, PALMETTO BAY, FL 33157-4737
(850) 672-9442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6064
FL
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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