Provider Demographics
NPI:1972778603
Name:TROMBLY, RYAN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:SCOTT
Last Name:TROMBLY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1095 NW 14TH TER
Mailing Address - Street 2:D4-6
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1060
Mailing Address - Country:US
Mailing Address - Phone:305-243-6946
Mailing Address - Fax:305-243-3337
Practice Address - Street 1:1321 NW 14TH ST
Practice Address - Street 2:WEST BUILDING SUITE 306
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1673
Practice Address - Country:US
Practice Address - Phone:305-689-2427
Practice Address - Fax:305-689-3320
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2022-04-20
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Provider Licenses
StateLicense IDTaxonomies
FLME100516207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000409100Medicaid
FL000409100Medicaid