MEDICARE: ANNA TROUT MSW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1740516921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA TROUT MSW

Provider Business Mailing Address
First Line	:	5150 NE 2ND CT APT 4
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-2842
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 N STATE ROAD 7
Second Line	:	SUITE 211
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5600
Country	:	US
Telephone Number	:	954-578-8399
Fax Number	:

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

Provider Enumeration Date	:	10/23/2009
Last Update Date	:	10/23/2009

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Directions to “ ANNA TROUT MSW” Practice Location

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