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

Trinity Health South PLLC

Organization Internal Medicine Physician · NPI 1780126664

Trinity Health South PLLC is an Internal Medicine Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

475 W Town Pl Ste 105
St Augustine, FL 32092-3648
Phone: (904) 806-4579
Fax: (904) 863-5566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME104865 (FL)

Record details

NPI number1780126664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Lu — Credentialing Coordinator · (904) 221-2535
NPI enumeratedNovember 9, 2016
Last updated in NPPESNovember 9, 2016
Mailing address110 Calle Norte, St Augustine, FL 32092

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