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General NPI Number Information
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NPI Number | 1245289552
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Entity Type | Individual
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Provider Name | ANTHONY TROITINO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 6692 DICKINSON TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-8260
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Country | US
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Telephone | 518-331-4423
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Fax |
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Provider Business Mailing Address
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Address Line | 6692 DICKINSON TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-8260
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Country | US
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Telephone | 518-331-4423
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 162591
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD 039602L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME165330
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License Number State | FL
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