Basic Information
Provider Information
NPI: 1538321393
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TROTTER
FirstName: CHRISTOPHER
MiddleName: CHASE
NamePrefix: DR.
NameSuffix: I
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 36TH ST
Address2:  
City: VERO BEACH
State: FL
PostalCode: 329604862
CountryCode: US
TelephoneNumber: 7725674311
FaxNumber: 7725634690
Practice Location
Address1: 1000 36TH ST
Address2:  
City: VERO BEACH
State: FL
PostalCode: 329604862
CountryCode: US
TelephoneNumber: 7725674311
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/01/2008
LastUpdateDate: 10/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X156107FLY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


Home