MEDICARE: DR. MARLA MICKEL TRAPP MD

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	ME105799	FL
2	207Q00000X	Family Medicine Physician	ME105799	FL

General Provider Information

NPI Number	:	1760746408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARLA MICKEL TRAPP MD

Provider Business Mailing Address
First Line	:	734 ELKCAM BLVD
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-2626
Country	:	US
Telephone Number	:	386-532-8200
Fax Number	:	386-774-6862

Provider Business Practice Location Address
First Line	:	734 ELKCAM BLVD
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-2626
Country	:	US
Telephone Number	:	865-328-2003
Fax Number	:	386-774-6862

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

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	08/12/2025

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