Provider Demographics
NPI:1902511819
Name:TRINITYSCHOOLOFNURSING.ORG
Entity Type:Organization
Organization Name:TRINITYSCHOOLOFNURSING.ORG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAPHNE
Authorized Official - Middle Name:
Authorized Official - Last Name:POLYCARPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-962-8854
Mailing Address - Street 1:1602 SW 159TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2342
Mailing Address - Country:US
Mailing Address - Phone:305-962-8854
Mailing Address - Fax:
Practice Address - Street 1:767 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-4000
Practice Address - Country:US
Practice Address - Phone:305-962-8854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Multi-Specialty