Pamela C Trout, MD | |
201 N Lakemont Ave, Suite 200, Winter Park, FL 32792-3228 | |
(321) 203-4410 | |
(321) 203-4409 |
Full Name | Pamela C Trout |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 201 N Lakemont Ave, Winter Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467499384 | NPI | - | NPPES |
274282900 | Medicaid | FL | |
NY767 | Other | FL | FL MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME94271 (Florida) | Secondary |
208000000X | Pediatrics | ME94271 (Florida) | Primary |
Entity Name | Health First Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
Mailing Address | Practice Location Address |
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Pamela C Trout, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 203-4410 | Pamela C Trout, MD 201 N Lakemont Ave, Suite 200, Winter Park, FL 32792-3228 Ph: (321) 203-4410 |
Dr. Nicholo J. Sartor, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Lee Rd Ste 165, Winter Park, FL 32789 Phone: 407-975-0410 Fax: 407-975-0413 | |
Vanessa Alisa Gutierrez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 N Lakemont Ave, Pediatric Inpt Care At Winter Park, Winter Park, FL 32792 Phone: 407-303-2528 Fax: 407-303-2760 | |
Dr. Shivani Verma, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2660 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-898-2767 Fax: 407-898-9443 | |
Clifford Allen Selsky, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2830 Casa Aloma Way, Winter Park, FL 32792 Phone: 407-335-4760 Fax: 877-695-8583 | |
Md Saif Al Haque, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2325 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-539-0311 | |
Dr. Danielle Charisse Wallace, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Lee Rd Ste 165, Winter Park, FL 32789 Phone: 407-975-0410 Fax: 407-975-0413 | |
Dr. Frank Antolin Lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1992 Mizell Ave, Winter Park, FL 32792 Phone: 407-644-4844 Fax: 407-644-6101 |