Provider Demographics
NPI:1023003258
Name:STERK, TROY MICHAEL (DO)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:MICHAEL
Last Name:STERK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4207 W WATROUS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-4914
Mailing Address - Country:US
Mailing Address - Phone:727-214-7023
Mailing Address - Fax:
Practice Address - Street 1:3910 NORTHDALE BLVD STE 206
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1800
Practice Address - Country:US
Practice Address - Phone:813-264-7922
Practice Address - Fax:813-264-6585
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9366207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272585100Medicaid
I31877Medicare UPIN
U4768YMedicare ID - Type Unspecified