Elizabeth a Triana MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME46807 Issued in FL

Legal business name

ELIZABETH A TRIANA MD PA

Practice address

3155 Harbor Blvd
Ste. 100
Port Charlotte, FL 33952-6750

Phone

(941) 625-1990

Fax

(941) 625-1991

NPI assigned

Jun 25, 2010

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth A Triana, MDNPI 1811929466

Title

Owner

Phone

(941) 625-1990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Alice Triana, M.D.

  • Family Medicine Physician
  • Port Charlotte, FL
  • NPI 1811929466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1689985541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 HARBOR BLVD",
            "address_2": "STE. 100",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526750",
            "telephone_number": "941-625-1990",
            "fax_number": "941-625-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 HARBOR BLVD",
            "address_2": "STE. 100",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526750",
            "telephone_number": "941-625-1990",
            "fax_number": "941-625-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A TRIANA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "TRIANA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-1990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME46807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.