| Trinity Psychiatric Services Llc | |
|
115 Nw 167th St Fl 2 North Miami Beach FL 33169-6052 | |
| (561) 767-5690 | |
| (305) 402-3124 |
| Full Name | Trinity Psychiatric Services Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 115 Nw 167th St Fl 2, North Miami Beach, Florida |
| Authorized Official Name and Position | Christian Jean Baptiste (OWNER) |
| Authorized Official Contact | 9543912266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Psychiatric Services Llc 9841 Nw 18th Dr Plantation FL 33322-5687 Ph: (954) 391-2266 | Trinity Psychiatric Services Llc 115 Nw 167th St Fl 2 North Miami Beach FL 33169-6052 Ph: (561) 767-5690 |
| NPI Number | 1972092682 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 05/08/2018 |
| Medicare PECOS PAC ID | 7911249347 |
|---|---|
| Medicare Enrollment ID | O20200110000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972092682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Christian Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861867228 PECOS PAC ID: 6507134285 Enrollment ID: I20170621002536 |
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