| Trinity Community Health Center, Llc | |
|
3156 S University Dr Miramar FL 33025-3001 | |
| (786) 234-2519 | |
| (786) 590-1903 |
| Full Name | Trinity Community Health Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3156 S University Dr, Miramar, Florida |
| Authorized Official Name and Position | Jean Claude Medina (ADVANCED PRACTICE REGISTERED NURSE) |
| Authorized Official Contact | 7542173929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Community Health Center, Llc 3156 S University Dr Miramar FL 33025-3001 Ph: (754) 217-3929 | Trinity Community Health Center, Llc 3156 S University Dr Miramar FL 33025-3001 Ph: (786) 234-2519 |
| NPI Number | 1669063236 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 05/10/2023 |
| Medicare PECOS PAC ID | 6002207339 |
|---|---|
| Medicare Enrollment ID | O20211222000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669063236 | NPI | - | NPPES |
| 1235683822 | Other | FL | NPI |
| 1336371129 | Other | FL | DO (DOCTOR OF OSTEOPATHIC) |
| 1427400720 | Other | FL | NPI |
| Provider Name | Jean Bertrand Merozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427400720 PECOS PAC ID: 6103193651 Enrollment ID: I20170605000726 |
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