Healthcare Provider Details

I. General information

NPI: 1346353927
Provider Name (Legal Business Name): MAYER I. TROBMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 SOUTH OCEAN BLVD., #601
POMPANO BEACH FL
33062-7160
US

IV. Provider business mailing address

1361 SOUTH OCEAN BLVD., #601
POMPANO BEACH FL
33062-7160
US

V. Phone/Fax

Practice location:
  • Phone: 954-263-5993
  • Fax: 954-366-5222
Mailing address:
  • Phone: 954-366-4100
  • Fax: 954-366-3622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberOS0003223
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: