Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME 89602 | FL |
NPI | 1013913383 |
---|---|
Provider Name | Frank E Trogolo |
First Address | Jacksonville, FL 32258-7418 |
Second Address | Jacksonville, FL 32258 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 11/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
270353000 | (05) | FL |
I26360 | (02) |