Organization Active NPI

Triunity Wellness LLC

  • Health Service Clinic/Center
  • Tampa, FL
National Provider Identifier
1609738798
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TRIUNITY WELLNESS LLC
Practice address
3971 Moran Rd Ste 102
Tampa, FL 33618-4631
Phone
(813) 908-0675
Fax
(813) 558-5971
NPI assigned
Nov 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Dr. Samer Mikhail, DO
Title
Medical Director
Phone
(813) 528-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3971 Moran Rd Ste 102
Tampa, FL 33618-4631

Mailing address

5002 Waydale LN
Tampa, FL 33647-2733
Phone (813) 908-0675

National Provider Directory

National Provider Directory

Locations

3971 Moran Rd
Ste 102
Tampa, FL 33618
Phone (813) 908-0675

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1609738798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 WAYDALE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472733",
            "telephone_number": "813-908-0675",
            "fax_number": "813-558-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 MORAN RD STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184631",
            "telephone_number": "813-908-0675",
            "fax_number": "813-558-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUNITY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-528-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.