Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME56523 | FL |
NPI | 1881784841 |
---|---|
Provider Name | Dr. Scott Jeffery Trimas |
First Address | Jacksonville Beach, FL 32250 |
Second Address | Jacksonville, FL 32250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 25/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F75671 | (02) |