Provider Demographics
NPI:1184649170
Name:TRATTLER, HENRY L (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:L
Last Name:TRATTLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:STE 400E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2175
Mailing Address - Country:US
Mailing Address - Phone:305-326-6031
Mailing Address - Fax:305-243-8470
Practice Address - Street 1:900 NW 17TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33101-6960
Practice Address - Country:US
Practice Address - Phone:305-326-6031
Practice Address - Fax:305-243-8470
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2018-03-27
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Provider Licenses
StateLicense IDTaxonomies
FLME14178207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2516781-00Medicaid
FL2516781-00Medicaid
FLD59673Medicare UPIN