Phoupardit, Trisha

Phoupardit, Trisha is an individual health care provider with primary practice located at 555 W State Road 434 , Longwood FL 32750-5119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Phoupardit, Trisha can be contacted via phone (407) 767-1200.

Contact Information

Primary practice address
555 W State Road 434 Longwood FL 32750-5119
Phone: (407) 767-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11033913 Florida

Profile Details

NPI number 1578300190
LBN Legal business name Phoupardit, Trisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2024
Last updated Jul 11th, 2024 - 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.

Request for update

Popular Providers