Provider Demographics
NPI:1447412051
Name:MARIE C TROMANS MD PA
Entity Type:Organization
Organization Name:MARIE C TROMANS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:TROMANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-816-7976
Mailing Address - Street 1:3003 S CONGRESS AVE
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2169
Mailing Address - Country:US
Mailing Address - Phone:561-432-6959
Mailing Address - Fax:
Practice Address - Street 1:3003 S CONGRESS AVE
Practice Address - Street 2:SUITE 2E
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2169
Practice Address - Country:US
Practice Address - Phone:561-432-6959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87331305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL71714Medicare PIN