Organization
TRENTON MEDICAL CENTER INC
Active
Other names
Palms medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA H. REMBERT (CEO)
(386) 454-0698
Entity
Organization
Contact information
Practice address
200 SW 62ND BLVD, GAINESVILLE, FL 32607-6030
(352) 376-8211
(352) 373-7594
Mailing address
23476 NW 186TH AVE, HIGH SPRINGS, FL 32643-0673
(386) 454-0698
(386) 454-0690
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029506013
—
FL
01
—
77513A
FIRST COAST PTAN
FL
Enumeration date
09/07/2009
Last updated
01/10/2025
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