Provider Demographics
NPI:1235635871
Name:TROTTER, ABIGAIL ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ELIZABETH
Last Name:TROTTER
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 1:4425 MERRIMAC AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-1850
Mailing Address - Country:US
Mailing Address - Phone:904-346-0050
Mailing Address - Fax:904-346-0080
Practice Address - Street 1:4425 MERRIMAC AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-1850
Practice Address - Country:US
Practice Address - Phone:904-346-0050
Practice Address - Fax:904-346-0080
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME145657207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology