Provider Demographics
NPI:1639416431
Name:TROBIANO, CRAIG FRANCIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:FRANCIS
Last Name:TROBIANO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 CAPE CORAL PKWY W
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-6979
Mailing Address - Country:US
Mailing Address - Phone:239-945-1226
Mailing Address - Fax:
Practice Address - Street 1:1616 CAPE CORAL PKWY W
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6979
Practice Address - Country:US
Practice Address - Phone:239-945-1226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist