Provider Demographics
NPI:1316406143
Name:ATRINITY POINT HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:ATRINITY POINT HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP, FNP-C/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VENTRICIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:VICTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-855-8647
Mailing Address - Street 1:2677 FOREST HILL BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5941
Mailing Address - Country:US
Mailing Address - Phone:631-291-2830
Mailing Address - Fax:561-855-8872
Practice Address - Street 1:2677 FOREST HILL BLVD STE 125
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-5941
Practice Address - Country:US
Practice Address - Phone:561-855-8647
Practice Address - Fax:561-855-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL025168800Medicaid