Organization
HOLY TRINITY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LED'S GISCARD JEROME MD (CMO)
(347) 455-7845
Entity
Organization
Contact information
Practice address
4152 W BLUE HERON BLVD STE 126, RIVIERA BEACH, FL 33404-4859
(561) 713-7173
Mailing address
5598 PEBBLE BROOK LN, BOYNTON BEACH, FL 33472-2401
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
10/31/2022
Last updated
11/14/2024
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