Provider Demographics
NPI:1285235945
Name:TRIDENT HEALTH CONSULTANTS,LLC
Entity type:Organization
Organization Name:TRIDENT HEALTH CONSULTANTS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:786-588-6700
Mailing Address - Street 1:5781 LEE BLVD STE 208-553
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-6337
Mailing Address - Country:US
Mailing Address - Phone:786-588-6700
Mailing Address - Fax:
Practice Address - Street 1:5781 LEE BLVD STE 208-553
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-6337
Practice Address - Country:US
Practice Address - Phone:786-588-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-07
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service