Provider Demographics
NPI:1184826232
Name:TRINITY WOMENS CARE
Entity Type:Organization
Organization Name:TRINITY WOMENS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:M
Authorized Official - Last Name:CATLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-372-0006
Mailing Address - Street 1:7633 CITA LN
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6219
Mailing Address - Country:US
Mailing Address - Phone:727-372-0006
Mailing Address - Fax:866-372-4001
Practice Address - Street 1:7633 CITA LN
Practice Address - Street 2:SUITE 103
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6219
Practice Address - Country:US
Practice Address - Phone:727-372-0006
Practice Address - Fax:866-372-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93844207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty