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Organization

TRAPEX MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD VIRGIL (EXECUTIVE DIRECTOR)
(954) 533-1165
Entity
Organization

Contact information

Practice address
4600 W COMMERCIAL BLVD, SUITE # 6, TAMARAC, FL 33319-3307
(954) 533-1165
Mailing address
4600 W COMMERCIAL BLVD, SUITE # 6, TAMARAC, FL 33319-3307
(954) 533-1165

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
FL
103TP0016X
Prescribing (Medical) Psychologist
FL
106H00000X
Marriage & Family Therapist
FL
111NR0400X
Rehabilitation Chiropractor
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
FL
261QM0850X
Adult Mental Health Clinic/Center
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
FL
261QM1300X
Multi-Specialty Clinic/Center
Primary
FL

Other

Enumeration date
07/15/2010
Last updated
07/15/2010
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