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Trillium Medical Group Of Florida
Rural Health Clinic/Center in Lutz, Florida
NPI 1760693535

Trillium Medical Group Of Florida is a Rural Health Clinic/Center based in Tampa, FL and is specialized in Rural Health. Trillium Medical Group Of Florida practices in Lutz, FL. The NPI Number for Trillium Medical Group Of Florida is 1760693535 and holds a License No. (Florida).

The current practice location address for Trillium Medical Group Of Florida is 21827 State Road 54, Lutz, FL and can be reached out via phone at 727-750-8103 and via fax at 866-788-0863.

Location: 21827 State Road 54, Lutz, FL, 33623-3788
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760693535
Provider Name
Trillium Medical Group Of Florida
Credential
Provider Entity Type
Organization
Address
21827 State Road 54, Lutz, FL, 33623-3788
Phone Number
727-750-8103
Fax Number
866-788-0863
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34129 01 FL BCBS GROUP
institution
Provider Business Practice Location Address Details
Address
21827 State Road 54
City
Lutz
State
Florida
Zip
33549-6924
Phone Number
727-750-8103
Fax Number
866-788-0863
person
Provider Business Mailing Address Details
Address
21827 State Road 54
City
Lutz
State
Florida
Zip
33549-6924
Phone Number
727-750-8103
Fax Number
866-788-0863
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
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Definition
Definition to come...
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