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Organization

DOC PAM, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA CHRISTINE TROUT MD (PRESIDENT)
(321) 662-2043
Entity
Organization

Contact information

Practice address
201 N LAKEMONT AVE, SUITE 200, WINTER PARK, FL 32792-3228
(321) 203-4410
(321) 203-4409
Mailing address
1719 LOCH BERRY RD, WINTER PARK, FL 32789-5221
(321) 662-2043
(321) 203-4409

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME94271
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274282900
FL
01
ME94271
FLORIDA STATE LICENSE
FL
Enumeration date
10/15/2015
Last updated
03/07/2023
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