MEDICARE: DR. MAYER I. TROBMAN D.O.

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	2085R0202X	Diagnostic Radiology Physician	OS0003223	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82180	OTHER	FL	MEDICARE PTAN PROVIDER

Other Identifiers

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

General Provider Information

NPI Number	:	1346353927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAYER I. TROBMAN D.O.

Provider Business Mailing Address
First Line	:	1361 SOUTH OCEAN BLVD., #601
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7160
Country	:	US
Telephone Number	:	954-366-4100
Fax Number	:	954-366-3622

Provider Business Practice Location Address
First Line	:	1361 SOUTH OCEAN BLVD., #601
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7160
Country	:	US
Telephone Number	:	954-263-5993
Fax Number	:	954-366-5222

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	07/30/2010

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Directions to “ DR. MAYER I. TROBMAN D.O.” Practice Location

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