Individual
PAMELA C TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 N LAKEMONT AVE, SUITE 200, WINTER PARK, FL 32792-3228
(321) 203-4410
(321) 203-4409
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 203-4410
(321) 203-4409
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME94271
FL
208D00000X
General Practice Physician
ME94271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274282900
—
FL
01
—
NY767
FL MEDICARE
FL
Enumeration date
05/31/2006
Last updated
06/16/2021
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