| Trinity Family Physicians Pl | |
|
1817 Cypress Brook Dr Suite 101 Trinity FL 34655-4414 | |
| (727) 834-8377 | |
| (727) 834-8371 |
| Full Name | Trinity Family Physicians Pl |
|---|---|
| Speciality | Family Medicine |
| Location | 1817 Cypress Brook Dr, Trinity, Florida |
| Authorized Official Name and Position | Amir Shirmohammad (PHYSICIAN) |
| Authorized Official Contact | 8134945272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Family Physicians Pl 1817 Cypress Brook Dr Suite 101 Trinity FL 34655-4414 Ph: (727) 834-8377 | Trinity Family Physicians Pl 1817 Cypress Brook Dr Suite 101 Trinity FL 34655-4414 Ph: (727) 834-8377 |
| NPI Number | 1932391463 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 04/27/2020 |
| Medicare PECOS PAC ID | 6305921321 |
|---|---|
| Medicare Enrollment ID | O20080314000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932391463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephanie D Eldridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134282544 PECOS PAC ID: 5698790459 Enrollment ID: I20051011000330 |
| Provider Name | Amir Shirmohammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912060500 PECOS PAC ID: 9537268461 Enrollment ID: I20070619000144 |
| Provider Name | Diane J Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154993921 PECOS PAC ID: 7719380252 Enrollment ID: I20210721004014 |
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