Provider Demographics
NPI:1598711392
Name:TRALINS, KEVIN SETH (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:SETH
Last Name:TRALINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8787 BRYAN DAIRY RD
Mailing Address - Street 2:STE 120
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777
Mailing Address - Country:US
Mailing Address - Phone:727-320-0200
Mailing Address - Fax:727-258-4836
Practice Address - Street 1:8787 BRYAN DAIRY RD
Practice Address - Street 2:STE 120
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777
Practice Address - Country:US
Practice Address - Phone:727-320-0200
Practice Address - Fax:727-258-4836
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00829282085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261987300Medicaid
FL261987300Medicaid
FL05322Medicare ID - Type Unspecified