Organization
TRINITY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BO WILE HADDLE (PROVIDER RELATIONS REP.)
(727) 233-7645
Entity
Organization
Contact information
Practice address
7424 COMMUNITY CT, HUDSON, FL 34667-7101
(727) 233-7645
(727) 233-7647
Mailing address
7424 COMMUNITY CT, HUDSON, FL 34667-7101
(727) 233-7645
(727) 233-7647
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
ME029730
FL
302F00000X
Exclusive Provider Organization
Primary
—
FL
Other
Enumeration date
09/20/2006
Last updated
07/21/2022
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