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TRINITY HEALTH SOUTH PLLC
NPI 1780126664
Internal Medicine in St Augustine, FL

Active since November 09, 2016
475 W TOWN PL, SUITE 105, ST AUGUSTINE, FL 32092(904) 806-4579(904) 863-5566 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trinity Health South Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY HEALTH SOUTH PLLC (NPI 1780126664) is a healthcare organization registered as an internal medicine in St Augustine, Florida and active in the NPI registry since November 2016. The organization lists Wendy C Lu, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1780126664
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRINITY HEALTH SOUTH PLLC
Location Address475 W TOWN PL, SUITE 105St Augustine, FL 32092-3648
Mailing Address110 Calle NorteSt Augustine, FL 32092 · (904) 806-4579 · Fax (904) 863-5566
Phone(904) 806-4579
Fax(904) 863-5566
Organization SubpartNo
Authorized OfficialWendy C LuCredentialing Coordinator · (904) 221-2535
Enumeration DateNovember 9, 2016
✔ NPI 1780126664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME104865
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
475 W TOWN PL, St Augustine, FL 32092
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILL CREEK FAMILY CARE
Family Medicine
475 W TOWN PL, SUITE 105
ST AUGUSTINE, FL 32092
St. Johns County (904) 940-1441
PAMELA SCHUTTER
Counselor (Mental Health)
475 W TOWN PL, SUITE 205 D
ST AUGUSTINE, FL 32092
St. Johns County (904) 484-2158
BAPTIST PRIMARY CARE INC
Family Medicine
475 W TOWN PL, SUITE 105
ST AUGUSTINE, FL 32092
St. Johns County (904) 940-1441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity Health South PLLC's NPI number?

The NPI number for Trinity Health South PLLC is 1780126664. It was assigned to this organization in the NPPES registry on November 9, 2016.

Where is Trinity Health South PLLC located?

Trinity Health South PLLC is located at 475 W Town Pl Suite 105, St Augustine, FL 32092. The listed phone number is (904) 806-4579.

What is Trinity Health South PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Trinity Health South PLLC was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.