Provider Demographics
NPI:1174648091
Name:ST.TROIX, JIOREL TROY (LMT)
Entity Type:Individual
Prefix:
First Name:JIOREL TROY
Middle Name:
Last Name:ST.TROIX
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:TROY
Other - Middle Name:
Other - Last Name:ST.TROIX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:PO BOX 5333
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33779-5333
Mailing Address - Country:US
Mailing Address - Phone:727-559-0338
Mailing Address - Fax:
Practice Address - Street 1:MOBILE FLORIDA PRACTICE - SERVES LOCAL COUNTY AREAS AS
Practice Address - Street 2:ST.TROIX CORP, 50 - 8TH AVE SW, MS-BX5333
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33779-5333
Practice Address - Country:US
Practice Address - Phone:727-559-0338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA49449225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist