Provider Demographics
NPI:1447575519
Name:A&M ENDEAVORS LLC SERIES 2, FERTILITY CARE IVF DIVISION
Entity Type:Organization
Organization Name:A&M ENDEAVORS LLC SERIES 2, FERTILITY CARE IVF DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:P
Authorized Official - Last Name:TROLICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-672-1106
Mailing Address - Street 1:5931 BRICK CT
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9304
Mailing Address - Country:US
Mailing Address - Phone:407-672-1106
Mailing Address - Fax:407-678-2790
Practice Address - Street 1:5931 BRICK CT
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9304
Practice Address - Country:US
Practice Address - Phone:407-672-1106
Practice Address - Fax:407-678-2790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A&M ENDEAVORS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78893261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical