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1760693535
TRILLIUM MEDICAL GROUP OF FLORIDA
LUTZ, FL
NPI
1760693535
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Entity Type
Organization
Authorized Contact
BOBBY L COATES
President
727-403-5221
Organization Subpart ?
No
Primary Taxonomy
261QR1300X Clinic/Center, Rural Health
Enumeration Date
2007-05-24
Last Update Date
2020-08-22
Business Address
TRILLIUM MEDICAL GROUP OF FLORIDA
21827 STATE ROAD 54
LUTZ, FL 33549-6924
Phone number: 727-750-8103
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Mailing Address
TRILLIUM MEDICAL GROUP OF FLORIDA
PO BOX 23788
TAMPA, FL 33623-3788
Phone number: 800-750-8103
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