Organization
SURGICAL SPECIALISTS OF TRINITY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GREGORY CHISHOLM MD (DIRECTOR)
(727) 372-0400
Entity
Organization
Contact information
Practice address
10751 MAPLE CREEK DR, SUITE 103, TRINITY, FL 34655-4418
(727) 372-0400
(727) 372-0403
Mailing address
3152 LITTLE RD, SUITE 311, TRINITY, FL 34655-1864
(727) 372-0400
(727) 372-0403
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
05/28/2013
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