Provider Demographics
NPI:1821076084
Name:TRINITY PAIN MANAGEMENT PL
Entity Type:Organization
Organization Name:TRINITY PAIN MANAGEMENT PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:W
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-741-0989
Mailing Address - Street 1:8115 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-3000
Mailing Address - Country:US
Mailing Address - Phone:727-376-6111
Mailing Address - Fax:727-376-6199
Practice Address - Street 1:8115 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3000
Practice Address - Country:US
Practice Address - Phone:727-376-6111
Practice Address - Fax:727-376-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 78087207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG93967Medicare UPIN