Trinity Internal Medicine | |
2500 W Lake Mary Blvd Ste 109 Lake Mary FL 32746-3501 | |
(407) 324-0424 | |
Not Available |
Full Name | Trinity Internal Medicine |
---|---|
Speciality | Internal Medicine |
Location | 2500 W Lake Mary Blvd Ste 109, Lake Mary, Florida |
Authorized Official Name and Position | Anthony G Armineous (OWNER) |
Authorized Official Contact | 4073240424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Trinity Internal Medicine 1301 S International Pkwy Ste 2021 Lake Mary FL 32746-1411 Ph: (407) 324-0424 | Trinity Internal Medicine 2500 W Lake Mary Blvd Ste 109 Lake Mary FL 32746-3501 Ph: (407) 324-0424 |
NPI Number | 1821605205 |
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Provider Enumeration Date | 09/29/2020 |
Last Update Date | 09/22/2021 |
Medicare PECOS PAC ID | 6103239363 |
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Medicare Enrollment ID | O20210107000115 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821605205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Anthony George Armineous |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508030545 PECOS PAC ID: 6305992348 Enrollment ID: I20150720001551 |
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