| Trinova Healthcare Llc | |
|
2114 Creighton Rd Pensacola FL 32504-7218 | |
| (850) 332-3740 | |
| (850) 429-4813 |
| Full Name | Trinova Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2114 Creighton Rd, Pensacola, Florida |
| Authorized Official Name and Position | Mark Mcgrath Ryan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8508489500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinova Healthcare Llc 2114 Creighton Rd Pensacola FL 32504-7218 Ph: (850) 848-9500 | Trinova Healthcare Llc 2114 Creighton Rd Pensacola FL 32504-7218 Ph: (850) 332-3740 |
| NPI Number | 1912733841 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 04/10/2025 |
| Medicare PECOS PAC ID | 1658809074 |
|---|---|
| Medicare Enrollment ID | O20250114000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912733841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jenny A West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174842009 PECOS PAC ID: 7911039680 Enrollment ID: I20100715000324 |
| Provider Name | Mark Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659513919 PECOS PAC ID: 2466690631 Enrollment ID: I20130529000603 |
| Provider Name | Amanda R Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609276732 PECOS PAC ID: 8224355714 Enrollment ID: I20170802002673 |
| Provider Name | Angie Lina Finkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023527876 PECOS PAC ID: 5193081073 Enrollment ID: I20171108003741 |
| Provider Name | Jacqueline M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083118350 PECOS PAC ID: 5698100824 Enrollment ID: I20200116002094 |
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