| NPI | 1215237839 |
|---|---|
| Doing Business As | TRIDENT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | AKINWUMI GAMMAL ALADESAWE Medical Director 727-842-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL ME112766) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME112766) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2012-10-11 |