Provider Demographics
NPI:1235397662
Name:MASOURAS, TROY LEE (MD)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:LEE
Last Name:MASOURAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TROY
Other - Middle Name:LEE
Other - Last Name:SHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7955 AIRPORT RD N STE 100
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-1794
Mailing Address - Country:US
Mailing Address - Phone:239-734-3533
Mailing Address - Fax:239-431-5082
Practice Address - Street 1:7955 AIRPORT RD N STE 100
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-1794
Practice Address - Country:US
Practice Address - Phone:239-734-3533
Practice Address - Fax:239-431-5082
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA071873208600000X
FLME123757208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery