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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891006045 NPPES
Florida MEDICAID 002749500

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