Provider Demographics
NPI:1598851826
Name:TRINA E ESPINOLA MD PA
Entity Type:Organization
Organization Name:TRINA E ESPINOLA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:ESPINOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-553-7100
Mailing Address - Street 1:PO BOX 13247
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33733-3247
Mailing Address - Country:US
Mailing Address - Phone:727-553-7100
Mailing Address - Fax:
Practice Address - Street 1:625 6TH AVE S
Practice Address - Street 2:SUITE 385
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4662
Practice Address - Country:US
Practice Address - Phone:727-553-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0064176207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL98707OtherBCBS
FL269361500Medicaid
FL18777OtherBCBS
FL98707OtherBCBS