Trinity Family And Sports Medicine Pa in Trinity - Sports Medicine

Trinity Family And Sports Medicine Pa - NPI 1891991238

Trinity Family And Sports Medicine Pa is a Sports Medicine in Trinity, Florida. Trinity Family And Sports Medicine Pa practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Trinity Family And Sports Medicine Pa is 1891991238. The last update date is 2016-07-12.

Trinity Family And Sports Medicine Pa's current location address is 1807 Short Branch Drive, Trinity, Florida. You can contact this provider via phone number 7273763547 and fax number 8664399035. The mailing address for Trinity Family And Sports Medicine Pa is 1807 Short Branch Drive, Trinity, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Trinity Family And Sports Medicine Pa
Address 1807 Short Branch Drive, Trinity, Florida
Phone Number 7273763547
Fax Number 8664399035
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Tippett D Jesse
Credentials MD
Telephone Number 7273763547

NPI Number Detail

NPI Number 1891991238
Provider Enumeration Date 2007-06-22
Last Updated Date 2016-07-12

Provider Mailing Address Detail

Address 1807 Short Branch Drive
City Trinity
State Florida (FL)
Post Code 34655
Phone Number 7273763547
Fax Number 8664399035

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No ME93868
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
279176500 FL --

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FAQs about Trinity Family And Sports Medicine Pa

What is the unique 10-digit identifier code issued to Trinity Family And Sports Medicine Pa by the Centers for Medicare & Medicaid Services?

The Trinity Family And Sports Medicine Pa has been assigned the NPI (National Provider Identifier) 1891991238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Trinity Family And Sports Medicine Pa's facilities are geographically located?

The facilities of Trinity Family And Sports Medicine Pa are physically situated at the following location: 1807 Short Branch Drive, Trinity, FL, 34655.

What is Trinity Family And Sports Medicine Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Trinity Family And Sports Medicine Pa is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.

When was the Trinity Family And Sports Medicine Pa's 1891991238 issued?

The Trinity Family And Sports Medicine Pa's 1891991238 was issued on 2007-06-22.

When was the information regarding Trinity Family And Sports Medicine Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Trinity Family And Sports Medicine Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-07-12.

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