Provider Demographics
NPI:1598144909
Name:TRINITY AMBULATORY SURGICAL CENTER LLC
Entity Type:Organization
Organization Name:TRINITY AMBULATORY SURGICAL CENTER LLC
Other - Org Name:HEART & RHYTHM INSTITUTE OF TRINITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:ANNONI-SUAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-639-5005
Mailing Address - Street 1:PO BOX 1245
Mailing Address - Street 2:
Mailing Address - City:ELFERS
Mailing Address - State:FL
Mailing Address - Zip Code:34680-1245
Mailing Address - Country:US
Mailing Address - Phone:727-247-8754
Mailing Address - Fax:
Practice Address - Street 1:11308 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1245
Practice Address - Country:US
Practice Address - Phone:727-247-8754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical