Provider Demographics
NPI:1437382173
Name:TRIMALDI, JANESE A (MD)
Entity Type:Individual
Prefix:
First Name:JANESE
Middle Name:A
Last Name:TRIMALDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 DUNSFORD TER APT 2
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-4397
Mailing Address - Country:US
Mailing Address - Phone:813-298-9752
Mailing Address - Fax:
Practice Address - Street 1:2020 DUNSFORD TER APT 2
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-4397
Practice Address - Country:US
Practice Address - Phone:813-298-9752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125404207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology