Individual
BRENDA R TROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
132 E MADISON ST, STARKE, FL 32091-4043
(904) 964-6500
(904) 964-9170
Mailing address
132 E MADISON ST, STARKE, FL 32091-4043
(904) 964-6500
(904) 964-9170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3320462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307883300
—
FL
Enumeration date
07/14/2008
Last updated
12/12/2013
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