Organization
TRIDENT MEDICAL MANAGEMENT, INC.
Active
Organization
TRIDENT MEDICAL MANAGEMENT, INC.
Active
Other names
Trident Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKINWUMI GAMMAL ALADESAWE M.D. (MEDICAL DIRECTOR)
(727) 842-6900
Entity
Organization
Contact information
Practice address
6131 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-2527
(727) 842-6900
(727) 842-6902
Mailing address
6131 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-2527
(727) 842-6900
(727) 842-6902
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
ME112766
FL
261QP3300X
Pain Clinic/Center
Primary
ME112766
FL
Other
Enumeration date
10/29/2010
Last updated
10/11/2012
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