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

Trident Sports Medicine and Rehabilitation Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1811766637

Trident Sports Medicine and Rehabilitation Inc is a Sports Medicine (Family Medicine) Physician in Ormond Beach, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

873 Hull Rd Unit 12
Ormond Beach, FL 32174-0738
Phone: (386) 267-2965
Fax: (386) 603-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X
Hearing and Speech Clinic/Center Taxonomy 261QH0700X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1811766637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Lynch — President · (570) 762-3953
NPI enumeratedDecember 20, 2023
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address873 Hull Rd Unit 12, Ormond Beach, FL 32174-0738

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