Provider Demographics
NPI:1710594973
Name:RODNEY A FRIEND MD PA
Entity Type:Organization
Organization Name:RODNEY A FRIEND MD PA
Other - Org Name:TRINITY MEN'S HEALTH & OCCUPATIONAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRIEND
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:813-449-2861
Mailing Address - Street 1:7625 CITA LN UNIT 102
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6218
Mailing Address - Country:US
Mailing Address - Phone:727-232-6296
Mailing Address - Fax:272-255-5069
Practice Address - Street 1:7625 CITA LN UNIT 102
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6218
Practice Address - Country:US
Practice Address - Phone:813-449-2861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace MedicineGroup - Single Specialty
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
XDJNLOtherBLUE CROSS BLUE SHIELD