Trident Acquisition Consultants I, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TRIDENT ACQUISITION CONSULTANTS I, LLC

Practice address

3918 S Kings Ave
Brandon, FL 33511-7749

Phone

(813) 662-1535

Fax

(813) 681-3585

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Lynne Margaret Defeo

Title

Financial Director

Phone

(561) 249-3860

Specialties & licenses 1

Addresses

Other names 1

• Cloudberry Lodge at Brandon Doing business as

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1972183432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2378",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334802378",
            "telephone_number": "561-249-3860",
            "fax_number": "561-813-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117749",
            "telephone_number": "813-662-1535",
            "fax_number": "813-681-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT ACQUISITION CONSULTANTS I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "DEFEO",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "561-249-3860"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloudberry Lodge at Brandon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.