Organization Active NPI

Trinity Primary Care LLC

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1033753934
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRINITY PRIMARY CARE LLC
Practice address
1301 S International Pkwy Ste 2021
Lake Mary, FL 32746-1411
Phone
(407) 324-0484
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony Armineous, MD
Title
Ceo
Phone
(605) 891-3557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1301 S International Pkwy Ste 2021
Lake Mary, FL 32746-1411

Mailing address

1301 S International Pkwy Ste 2021
Lake Mary, FL 32746-1411
Phone (407) 324-0424

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1033753934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S INTERNATIONAL PKWY STE 2021",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461411",
            "telephone_number": "407-324-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S INTERNATIONAL PKWY STE 2021",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461411",
            "telephone_number": "407-324-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "ARMINEOUS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-891-3557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.