| Trident Sports Medicine And Rehabilitation Inc. | |
|
873 Hull Rd Unit 12 Ormond Beach FL 32174-0738 | |
| (386) 267-2965 | |
| (386) 603-6007 |
| Full Name | Trident Sports Medicine And Rehabilitation Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 873 Hull Rd Unit 12, Ormond Beach, Florida |
| Authorized Official Name and Position | Michael F Lynch (PRESIDENT) |
| Authorized Official Contact | 5707623953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Sports Medicine And Rehabilitation Inc. 873 Hull Rd Unit 12 Ormond Beach FL 32174-0738 Ph: (386) 267-2965 | Trident Sports Medicine And Rehabilitation Inc. 873 Hull Rd Unit 12 Ormond Beach FL 32174-0738 Ph: (386) 267-2965 |
| NPI Number | 1811766637 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 4688027295 |
|---|---|
| Medicare Enrollment ID | O20240131001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811766637 | NPI | - | NPPES |
| Provider Name | Nicole A Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013226273 PECOS PAC ID: 1456323286 Enrollment ID: I20040811000657 |
| Provider Name | Brent N Fulton |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1194708495 PECOS PAC ID: 4486730066 Enrollment ID: I20080324000224 |
| Provider Name | Michael F Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194092114 PECOS PAC ID: 1355562059 Enrollment ID: I20200219001875 |
| Provider Name | Maria I Brantley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821691346 PECOS PAC ID: 8820409501 Enrollment ID: I20201202000130 |
| Provider Name | Samantha Maffucci |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831956408 PECOS PAC ID: 3577901891 Enrollment ID: I20240405001718 |
Ormond Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 279 S Yonge St, Ormond Beach, FL 32174 Phone: 386-955-9704 Fax: 386-872-5004 | |
James E Mcdonnell Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174 Phone: 386-677-6727 Fax: 386-677-3211 | |
Mark W. Lastarza, M.d., Pa. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Clyde Morris Blvd, Suite 290, Ormond Beach, FL 32174 Phone: 386-672-3219 Fax: 386-672-3160 | |
Skeuthaus Inpatient Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Sterthaus Ave, Ormond Beach, FL 32174 Phone: 386-676-6000 | |
Advanced Health Care Physical Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Granada Blvd, Suite 101, Ormond Beach, FL 32174 Phone: 386-673-2000 Fax: 386-673-2002 | |
Roya Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 N Beach St, Suite A, Ormond Beach, FL 32174 Phone: 386-673-8333 Fax: 386-673-5236 | |
Mobile Health Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Pine Creek Trl, Ormond Beach, FL 32174 Phone: 386-566-1733 Fax: 386-615-6628 |