Organization Active NPI

Trinity Physicians, LLC

  • Exclusive Provider Organization
  • Hudson, FL
National Provider Identifier
1710084900
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
TRINITY PHYSICIANS, LLC
Practice address
7424 Community CT
Hudson, FL 34667-7101
Phone
(727) 233-7645
Fax
(727) 233-7647
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Bo Wile HaddleNPI 1689533028
Title
Provider Relations Rep.
Phone
(727) 233-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X FL Primary
Exclusive Provider Organization 302F00000X ME029730 FL

Addresses

Primary practice location

7424 Community CT
Hudson, FL 34667-7101

Mailing address

7424 Community CT
Hudson, FL 34667-7101
Phone (727) 233-7645

National Provider Directory

National Provider Directory

Locations

7424 Community Ct
Hudson, FL 34667
Phone (727) 233-7645

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710084900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 COMMUNITY CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677101",
            "telephone_number": "727-233-7645",
            "fax_number": "727-233-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 COMMUNITY CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677101",
            "telephone_number": "727-233-7645",
            "fax_number": "727-233-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HADDLE",
        "authorized_official_first_name": "BO",
        "authorized_official_middle_name": "WILE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS REP.",
        "authorized_official_telephone_number": "727-233-7645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "ME029730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.