Provider Demographics
NPI:1679558225
Name:TROIANO, CHRISTOPHER J
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:TROIANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 NW 71ST CT STE 103
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2930
Mailing Address - Country:US
Mailing Address - Phone:954-739-9700
Mailing Address - Fax:954-720-9694
Practice Address - Street 1:7710 NW 71ST CT STE 103
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2930
Practice Address - Country:US
Practice Address - Phone:954-739-9700
Practice Address - Fax:954-720-9694
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056393207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0525383-00Medicaid
FL08732ZMedicare ID - Type Unspecified
FL0525383-00Medicaid