Trident Anti Aging, LLC
Trident Anti Aging, LLC is a Family Medicine Physician in Fort Lauderdale, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
800 E Broward Blvd Ste 400Fort Lauderdale, FL 33301-2033
Phone: (954) 451-5454
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1023574696 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Poulos — Owner · (954) 451-5454 |
| Other names | Trident Primary & Preventative Care; Trident Primary & Preventative Care |
| NPI enumerated | February 19, 2019 |
| Last updated in NPPES | August 26, 2019 |
| Mailing address | 800 E Broward Blvd Ste 400, Fort Lauderdale, FL 33301-2033 |
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