Organization
GEORGE S TROTTER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SEDDING TROTTER MD PA (PRESIDENT)
(904) 356-3318
Entity
Organization
Contact information
Practice address
2023 MYRA ST, JACKSONVILLE, FL 32204-3714
(904) 356-3318
(904) 356-3259
Mailing address
2023 MYRA ST, JACKSONVILLE, FL 32204-3714
(904) 356-3318
(904) 356-3259
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050457200
—
FL
Enumeration date
09/30/2010
Last updated
09/30/2010
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