Organization
TRINITY DOCTORS GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DEAN IBRAHIM M.D. (PRESIDENT)
(727) 372-3750
Entity
Organization
Contact information
Practice address
8133 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3000
(727) 372-3750
(727) 372-3754
Mailing address
8133 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3000
(727) 372-3750
(727) 372-3754
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME101502
FL
Other
Enumeration date
07/02/2008
Last updated
04/03/2019
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