Healthcare Provider Details

I. General information

NPI: 1992173645
Provider Name (Legal Business Name): GISELLE TROTTI AA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GISELLE RIVERO AA

II. Dates (important events)

Enumeration Date: 09/11/2015
Last Update Date: 04/03/2020
Certification Date: 04/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

7700 W SUNRISE BLVD PL 31
PLANTATION FL
33322-4113
US

V. Phone/Fax

Practice location:
  • Phone: 786-437-2672
  • Fax: 954-851-1746
Mailing address:
  • Phone: 800-437-2672
  • Fax: 957-851-1746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: