Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trident Medical Group PA

Organization Case Manager/Care Coordinator · NPI 1295407922

Trident Medical Group PA is a Case Manager/Care Coordinator in Miami, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
7
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

382 NE 191st St Pmb 75481
Miami, FL 33179-3899
Phone: (855) 770-7771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Medicine Podiatrist (primary) Taxonomy 213EP0504X
Case Manager/Care Coordinator Taxonomy 171M00000X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X
Vascular Surgery Physician Taxonomy 2086S0129X
Podiatrist Taxonomy 213E00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1295407922
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devion Smith — Director, Payer Contracting · (424) 326-8711
NPI enumeratedSeptember 30, 2021
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address1256 Folsom St, San Francisco, CA 94103-3817

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