| NPI | 1992974463 |
|---|---|
| Doing Business As | TRINITY PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | PATRICIA I AJUFO Office Manager 352-369-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL me77338) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL me77338) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |