Individual
TROY ALAN SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4433
(260) 737-6704
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3451
(904) 446-3013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301052791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10785765
CAQH PROVIDER ID
—
01
—
381303843
TAX ID
—
05
—
4879960
—
MI
Enumeration date
09/29/2005
Last updated
12/10/2013
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