Provider Demographics
NPI:1093908394
Name:BOGDANA TROP MD PA
Entity Type:Organization
Organization Name:BOGDANA TROP MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOGDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TROP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-913-7196
Mailing Address - Street 1:2001 NE 48TH CT
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4512
Mailing Address - Country:US
Mailing Address - Phone:954-689-3977
Mailing Address - Fax:954-689-3978
Practice Address - Street 1:2001 NE 48TH CT
Practice Address - Street 2:SUITE 2
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4512
Practice Address - Country:US
Practice Address - Phone:954-689-3977
Practice Address - Fax:954-689-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85144174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty