Trinity Psychiatric Health, Llc | |
1301 S International Pkwy Suite 2021 Lake Mary FL 32746-1409 | |
(330) 412-8187 | |
Not Available |
Full Name | Trinity Psychiatric Health, Llc |
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Speciality | Psychiatry & Neurology |
Location | 1301 S International Pkwy, Lake Mary, Florida |
Authorized Official Name and Position | Sherry Gergis (OWNER) |
Authorized Official Contact | 3304128187 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trinity Psychiatric Health, Llc 1301 S International Pkwy Suite 2021 Lake Mary FL 32746-1409 Ph: (330) 412-8187 | Trinity Psychiatric Health, Llc 1301 S International Pkwy Suite 2021 Lake Mary FL 32746-1409 Ph: (330) 412-8187 |
NPI Number | 1568901197 |
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Provider Enumeration Date | 02/15/2017 |
Last Update Date | 02/15/2017 |
Medicare PECOS PAC ID | 2264719186 |
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Medicare Enrollment ID | O20170502002572 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568901197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sherry Gergis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720261472 PECOS PAC ID: 3173800091 Enrollment ID: I20170503002128 |
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