Provider Demographics
NPI:1346542578
Name:TRINITY POINT MEDICAL CENTER
Entity Type:Organization
Organization Name:TRINITY POINT MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LOUIS-CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-290-4070
Mailing Address - Street 1:1959 WOOD TRAIL ST
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-7551
Mailing Address - Country:US
Mailing Address - Phone:954-290-4970
Mailing Address - Fax:727-939-1632
Practice Address - Street 1:16459 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3675
Practice Address - Country:US
Practice Address - Phone:954-290-4070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93889261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center