Trinity Pain Center Llc
Interventional Pain Medicine Physician in Trinity, FL(View on Map)
Legal Business Name
Trinity Pain Center Llc
NPI Number
1942525688
NPI Type
Organization
Enumeration Date
04/06/2010
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME98246
Contact
Information
Purpose
Mailing
Location
Address
8146 CEREBELLUM WAY
8146 CEREBELLUM WAY
City
Trinity
Trinity
State
FL
FL
Postal Code
34655-1784
34655-1784
Country
US
US
Telephone Number
(727) 264-8865
(727) 264-8865
Authorized Official
Name
Terry Bush
Title or Position
OFFICE MANAGER
Telephone Number
(727) 264-8865
Identifiers
Identifier
DD544A
Identifier State
FL
Identifier Issuer
MEDICARE PTAN
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
damon.vu@trinitypaincenter.eclinicaldirectplus.com
Endpoint Description
dr vu direct messaging
Use
Health Information Exchange (HIE)
Content Type
CSV
Affiliation
N
Endpoint Location
8146 Cerebellum WaySuite 102Trinity, FL346551784US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/08/2021
Provider Address
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