| Trinity Medical Associates L L C | |
|
3633 Little Road Suite 101 Trinity FL 34655-1818 | |
| (727) 375-2222 | |
| (866) 244-2335 |
| Full Name | Trinity Medical Associates L L C |
|---|---|
| Speciality | Internal Medicine |
| Location | 3633 Little Road, Trinity, Florida |
| Authorized Official Name and Position | Jeffrey Scott Vasta (M.D.) |
| Authorized Official Contact | 7273752222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Associates L L C 3633 Little Road Suite 101 Trinity FL 34655-1815 Ph: (727) 375-2222 | Trinity Medical Associates L L C 3633 Little Road Suite 101 Trinity FL 34655-1818 Ph: (727) 375-2222 |
| NPI Number | 1497779169 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Medicare PECOS PAC ID | 3779557533 |
|---|---|
| Medicare Enrollment ID | O20040825001663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497779169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Pamela L Maxie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700893278 PECOS PAC ID: 3173533700 Enrollment ID: I20060427000147 |
| Provider Name | Jeffrey S Vasta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023097136 PECOS PAC ID: 7315911179 Enrollment ID: I20110830000280 |
| Provider Name | Julia a Vasta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487645883 PECOS PAC ID: 2062685605 Enrollment ID: I20111027000308 |
| Provider Name | Marilyn Staton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497153274 PECOS PAC ID: 7911214937 Enrollment ID: I20150923000946 |
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