MEDICARE: FRANK E TROGOLO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	ME 89602	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013913383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK E TROGOLO MD

Provider Business Mailing Address
First Line	:	14540 OLD SAINT AUGUSTINE RD STE 2391
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-7418
Country	:	US
Telephone Number	:	904-647-6946
Fax Number	:	844-473-3117

Provider Business Practice Location Address
First Line	:	14540 OLD SAINT AUGUSTINE RD STE 2391
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258
Country	:	US
Telephone Number	:	904-647-6946
Fax Number	:	844-473-3117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	05/11/2021

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Directions to “ FRANK E TROGOLO MD” Practice Location

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