Provider Demographics
NPI:1114678588
Name:TRI HEALTH FAMILY WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:TRI HEALTH FAMILY WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALEK
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-838-8440
Mailing Address - Street 1:2253 GREEN HEDGES WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6969
Mailing Address - Country:US
Mailing Address - Phone:813-771-6851
Mailing Address - Fax:813-771-6875
Practice Address - Street 1:2253 GREEN HEDGES WAY
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6969
Practice Address - Country:US
Practice Address - Phone:813-771-6851
Practice Address - Fax:813-771-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty