Provider Demographics
NPI:1295590891
Name:TRINITY NATURAL HEALTH & PAIN MANAGEMENT INC.
Entity type:Organization
Organization Name:TRINITY NATURAL HEALTH & PAIN MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARC EUGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-548-8086
Mailing Address - Street 1:1100 NE 163RD ST STE 404
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 NE 163RD ST STE 404
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4527
Practice Address - Country:US
Practice Address - Phone:954-548-8086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center