Provider Demographics
NPI:1083817365
Name:TROIANO, DEBRA JEANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:JEANNE
Last Name:TROIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7040 SW 48TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5602
Mailing Address - Country:US
Mailing Address - Phone:305-283-6195
Mailing Address - Fax:305-665-9363
Practice Address - Street 1:7040 SW 48TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5602
Practice Address - Country:US
Practice Address - Phone:305-283-6195
Practice Address - Fax:305-665-9363
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL037176208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82624Medicare UPIN