Provider Demographics
NPI:1346353927
Name:TROBMAN, MAYER I (DO)
Entity Type:Individual
Prefix:DR
First Name:MAYER
Middle Name:I
Last Name:TROBMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1361 SOUTH OCEAN BLVD., #601
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-7160
Mailing Address - Country:US
Mailing Address - Phone:954-366-4100
Mailing Address - Fax:954-366-3622
Practice Address - Street 1:1361 SOUTH OCEAN BLVD., #601
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-7160
Practice Address - Country:US
Practice Address - Phone:954-263-5993
Practice Address - Fax:954-366-5222
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS00032232085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82180OtherMEDICARE PTAN PROVIDER
FL275202600Medicaid
FL82180OtherMEDICARE PTAN PROVIDER
FL275202600Medicaid