Individual provider Active NPI

Mark P Trolice, MD

  • Reproductive Endocrinology Physician
  • Winter Park, FL
National Provider Identifier
1407866809
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
ME78893 Issued in FL
Practice address
5971 Brick CT FL 1
Winter Park, FL 32792-9307
Phone
(407) 672-1106
Fax
(407) 678-2760
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X ME78893 FL Primary

Addresses

Primary practice location

5971 Brick CT FL 1
Winter Park, FL 32792-9307

Mailing address

5971 Brick CT FL 1
Winter Park, FL 32792-9307
Phone (407) 672-1106

Other practice location 1

6718 Lake Nona Blvd Ste 100
Orlando, FL 32827-7984
Phone (407) 672-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME78893FLMDReproductive Endocrinology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1407866809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 BRICK CT FL 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929307",
            "telephone_number": "407-672-1106",
            "fax_number": "407-678-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 BRICK CT FL 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929307",
            "telephone_number": "407-672-1106",
            "fax_number": "407-678-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6718 Lake Nona Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277984",
            "country_code": "US",
            "telephone_number": "407-672-1106",
            "fax_number": "407-678-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROLICE",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME78893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.