Active NPI
Mark P Trolice, MD
- Reproductive Endocrinology Physician
- Winter Park, FL
National Provider Identifier
1407866809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- ME78893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME78893 | FL | MD | Reproductive 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.