Doctor Name: | DR. TROY P NOONAN |
NPI Number: | 1033112909 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0074311 |
Business Practice Address: | 710 Oakfield Dr Ste 261 Brandon, FL - 335114937 |
Business Phone Number: | 8136577022 |
Business Fax Number: | 8136571049 |
Mailing Address: | 710 Oakfield Dr, Ste 261 BRANDON |
State: | FL |
Postal Code: | 335114937 |
Phone Number: | 8136577022 |
Fax Number: | 8136571049 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/16/2006 |
NPI Reactivation Date: | 03/28/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0074311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |