Organization
TRINITY MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN DELEON (MANAGER)
(561) 588-0199
Entity
Organization
Contact information
Practice address
1702 S DIXIE HWY, STE 2, LAKE WORTH, FL 33460-5886
(561) 588-0199
(561) 588-0215
Mailing address
1702 S DIXIE HWY, STE 2, LAKE WORTH, FL 33460-5886
(561) 588-0199
(561) 588-0215
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
ME86283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260789100
—
FL
Enumeration date
10/10/2007
Last updated
06/21/2008
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