| Trident Wellness Center | |
|
6131 Us Highway 19 New Port Richey FL 34652-2527 | |
| (727) 842-6900 | |
| (727) 842-6902 |
| Full Name | Trident Wellness Center |
|---|---|
| Speciality | Clinic/center - Pain |
| Location | 6131 Us Highway 19, New Port Richey, Florida |
| Authorized Official Name and Position | Akinwumi Gammal Aladesawe (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7278426900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Wellness Center 6131 Us Highway 19 New Port Richey FL 34652-2527 Ph: (727) 842-6900 | Trident Wellness Center 6131 Us Highway 19 New Port Richey FL 34652-2527 Ph: (727) 842-6900 |
| NPI Number | 1215237839 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215237839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME112766 (Florida) | Secondary |
| 261QP3300X | Clinic/center - Pain | ME112766 (Florida) | Primary |
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