Entelisano, Trina Marie
Entelisano, Trina Marie is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Entelisano, Trina Marie can be contacted via phone (522) 650-1113.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-3003
Phone: (522) 650-1113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | ARNP9221896 | Florida |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 9221896 | Florida |
Profile Details
| NPI number | 1891006045 |
|---|---|
| LBN Legal business name | Entelisano, Trina Marie |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Mar 31st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891006045 | NPPES |
| Florida | MEDICAID | 002749500 |
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