Organization · Type 2 NPI

Trident Medical Group PA

Public Medicine Podiatrist · Miami, FL

NPI number 1295407922 Active

Practice location

382 NE 191st St, Pmb 75481
Miami, FL 33179-3899

Call (855) 770-7771 Map

Mailing address

1256 Folsom St
San Francisco, CA 94103-3817

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Orthopaedic Foot and Ankle Surgery Physician 207XX0004XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Podiatrist 213E00000XNone listed
Public Medicine Podiatrist Primary 213EP0504XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XNone listed

Public Medicine Podiatrist: Definition to come...

25 other providers at this address

About NPI 1295407922

Trident Medical Group PA's National Provider Identifier is 1295407922, issued on Sep 30, 2021. The primary taxonomy on file is Public Medicine Podiatrist (213EP0504X), and the practice location is in Miami, FL. The record was last updated on Nov 14, 2022.