| Trinity Medical Physicians, Llc | |
|
3240 S Florida Ave Ste 100, Lakeland, FL 33803-4574 | |
| (863) 646-4000 | |
| (863) 646-5189 |
| Full Name | Trinity Medical Physicians, Llc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 3240 S Florida Ave Ste 100, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225652878 | NPI | - | NPPES |
| Provider Name | Maria Pongos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558304436 PECOS PAC ID: 4486636750 Enrollment ID: I20040604000133 |
| Provider Name | Henryk T Malczak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912008145 PECOS PAC ID: 3072555069 Enrollment ID: I20050601000107 |
| Provider Name | Patricia A Keefe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003883299 PECOS PAC ID: 8022043447 Enrollment ID: I20051004000722 |
| Provider Name | Adam C Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376660712 PECOS PAC ID: 4183717226 Enrollment ID: I20070906000456 |
| Provider Name | Dane V Parker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730186800 PECOS PAC ID: 3375454994 Enrollment ID: I20080126000160 |
| Provider Name | Roger L Harcourt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831300532 PECOS PAC ID: 3375629074 Enrollment ID: I20080320000396 |
| Provider Name | Reinaldo Serrano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821094244 PECOS PAC ID: 6103995824 Enrollment ID: I20080521000663 |
| Provider Name | Wael A Jamaleddine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972647311 PECOS PAC ID: 4183749419 Enrollment ID: I20100910000042 |
| Provider Name | Vlad V Adler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801902291 PECOS PAC ID: 5193714707 Enrollment ID: I20110712000292 |
| Provider Name | Timothy Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447404041 PECOS PAC ID: 7012178551 Enrollment ID: I20120411000023 |
| Provider Name | Evellar M Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235487000 PECOS PAC ID: 5193974459 Enrollment ID: I20121001000367 |
| Provider Name | Jacobo Noel Lama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285716456 PECOS PAC ID: 2668647199 Enrollment ID: I20121017000900 |
| Provider Name | Marisol Caraballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851700553 PECOS PAC ID: 1456572080 Enrollment ID: I20141024001295 |
| Provider Name | Darrell R Braham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215324470 PECOS PAC ID: 1153612239 Enrollment ID: I20160621000553 |
| Provider Name | Dane V Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730186800 PECOS PAC ID: 3375454994 Enrollment ID: I20160725001987 |
| Provider Name | William F Jimenez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659781912 PECOS PAC ID: 4385934629 Enrollment ID: I20160921000330 |
| Provider Name | Luis R Alvarado Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467424143 PECOS PAC ID: 7517125347 Enrollment ID: I20160926000676 |
| Provider Name | Francisco J Vega Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104136936 PECOS PAC ID: 0749407591 Enrollment ID: I20161011001868 |
| Provider Name | Kimberly L Burnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093181497 PECOS PAC ID: 6800176389 Enrollment ID: I20161130000892 |
| Provider Name | Robert Presley Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538610001 PECOS PAC ID: 5294010344 Enrollment ID: I20170403000156 |
| Provider Name | Saundra Holseth |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1043601842 PECOS PAC ID: 4587949656 Enrollment ID: I20170403000835 |
| Provider Name | Lindsay Heather Hamid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164944203 PECOS PAC ID: 2769755297 Enrollment ID: I20170906000645 |
| Provider Name | Sandy Weir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821549007 PECOS PAC ID: 9436416567 Enrollment ID: I20171128002869 |
| Provider Name | Jorge L Lacen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023422425 PECOS PAC ID: 0840513529 Enrollment ID: I20180424001218 |
| Provider Name | Paul Wielebinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285689620 PECOS PAC ID: 6709878713 Enrollment ID: I20180709003044 |
| Provider Name | Loubna Ouaffai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730609702 PECOS PAC ID: 7911257217 Enrollment ID: I20180907000607 |
| Provider Name | Bincy Tijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538643895 PECOS PAC ID: 2466798665 Enrollment ID: I20190109000807 |
| Provider Name | Baoquang Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447411525 PECOS PAC ID: 4385962240 Enrollment ID: I20190308001672 |
| Provider Name | Kataceya Angela Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245709740 PECOS PAC ID: 5799027173 Enrollment ID: I20190506000752 |
| Provider Name | Casi Leigh Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548827934 PECOS PAC ID: 7517295249 Enrollment ID: I20190820001189 |
| Provider Name | Felix Guillermo Rosado Ramos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235439373 PECOS PAC ID: 6204018849 Enrollment ID: I20190913000615 |
| Provider Name | Jessie M Swisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872229 PECOS PAC ID: 8921339953 Enrollment ID: I20191007000225 |
| Provider Name | Luis J Rodriguez Colon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730417312 PECOS PAC ID: 7618150194 Enrollment ID: I20191007003673 |
| Provider Name | Kiran Naidoo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659935369 PECOS PAC ID: 2466783162 Enrollment ID: I20191010002004 |
| Provider Name | Danielle M Rylott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659933299 PECOS PAC ID: 9931431939 Enrollment ID: I20191024000384 |
| Provider Name | Miguel Mestre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669920237 PECOS PAC ID: 8921430901 Enrollment ID: I20191113000082 |
| Provider Name | Jessica Lambeth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750913901 PECOS PAC ID: 7719315639 Enrollment ID: I20200306001851 |
| Provider Name | John Mccleerey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972641652 PECOS PAC ID: 1658458419 Enrollment ID: I20201016000035 |
| Provider Name | Joseph Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876131 PECOS PAC ID: 7315351517 Enrollment ID: I20210129001207 |
| Provider Name | Iris Holback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992392492 PECOS PAC ID: 8820406515 Enrollment ID: I20210419000733 |
| Provider Name | Erin Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225643638 PECOS PAC ID: 5597177519 Enrollment ID: I20210609000718 |
| Provider Name | Bobbie J Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770952525 PECOS PAC ID: 2062713951 Enrollment ID: I20210621001091 |
| Provider Name | Debra D Beachy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417236662 PECOS PAC ID: 5193720597 Enrollment ID: I20210804001050 |
| Provider Name | Melissa Raquel Duque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558986232 PECOS PAC ID: 1951709088 Enrollment ID: I20211005000048 |
| Provider Name | Massiel Cristina Dos Santos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508485806 PECOS PAC ID: 2567850274 Enrollment ID: I20211029001871 |
| Provider Name | Allexis N Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265002315 PECOS PAC ID: 9830584283 Enrollment ID: I20220322000146 |
| Provider Name | Angel M Torres-castillo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770176877 PECOS PAC ID: 3577965102 Enrollment ID: I20220328001937 |
| Provider Name | Aliana Bornmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467191478 PECOS PAC ID: 4688057920 Enrollment ID: I20220818001701 |
| Provider Name | Karah Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346801545 PECOS PAC ID: 7012344088 Enrollment ID: I20220819000504 |
| Provider Name | Adilene Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205561891 PECOS PAC ID: 8325421357 Enrollment ID: I20220823004227 |
| Provider Name | Johana Santiago Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639270549 PECOS PAC ID: 1456449420 Enrollment ID: I20220831000050 |
| Provider Name | Melissa Brands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518303957 PECOS PAC ID: 2264671031 Enrollment ID: I20221205003326 |
| Provider Name | Buse Yuceer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376273011 PECOS PAC ID: 9739558917 Enrollment ID: I20221209001435 |
| Provider Name | Belinda L Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255976775 PECOS PAC ID: 9931566080 Enrollment ID: I20230605001337 |
| Provider Name | Sejal Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629739404 PECOS PAC ID: 8628427358 Enrollment ID: I20231206004342 |
| Provider Name | Taylor Banaszak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679341754 PECOS PAC ID: 2961854930 Enrollment ID: I20240116002474 |
| Provider Name | William Enrique Acobe Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447941141 PECOS PAC ID: 2769828763 Enrollment ID: I20240313001108 |
| Provider Name | Erika De La Barra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982384723 PECOS PAC ID: 9234580572 Enrollment ID: I20240402004341 |
| Provider Name | Misael Tollen Irizarry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174978233 PECOS PAC ID: 8729317995 Enrollment ID: I20240415004041 |
| Provider Name | Michelle Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932540747 PECOS PAC ID: 3173890118 Enrollment ID: I20240912004536 |
| Provider Name | Shihab Al-deen Mustafa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467166512 PECOS PAC ID: 3779016696 Enrollment ID: I20241031000661 |
| Provider Name | David Miguel Malcolm Depestre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457823353 PECOS PAC ID: 9931622149 Enrollment ID: I20250328001310 |
| Provider Name | Angelica Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790446490 PECOS PAC ID: 2062936800 Enrollment ID: I20250414001733 |
| Provider Name | Lester Yanier Ramos Merayos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205666930 PECOS PAC ID: 0840729307 Enrollment ID: I20250729000215 |
| Provider Name | Raiko Nestor Grinan Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538038914 PECOS PAC ID: 4183105935 Enrollment ID: I20260219004833 |
| Provider Name | Anjori Dunbar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720387269 PECOS PAC ID: 4587962329 Enrollment ID: I20260225002163 |
| Provider Name | Melissa Andreina Santana Betances |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396694493 PECOS PAC ID: 7719452739 Enrollment ID: I20260407004113 |
| Provider Name | Merlin Ardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730676412 PECOS PAC ID: 9537698873 Enrollment ID: I20260520004748 |
| Provider Name | Jessica Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639695497 PECOS PAC ID: 1557618014 Enrollment ID: I20260527003471 |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Physicians, Llc 425 W Colonial Dr Ste 303, Orlando, FL 32804-6863 Ph: (833) 309-3737 | Trinity Medical Physicians, Llc 3240 S Florida Ave Ste 100, Lakeland, FL 33803-4574 Ph: (863) 646-4000 |