DOC PAM, PA
Ambulatory Health at Lakemont Ave, Winter Park, FL

License number
Florida ME94271
Category
Ambulatory Health
Type
Primary Care
Owner
Name: PAMELA CHRISTINE TROUT MD
Title: PRESIDENT
Phone: (321) 662-2043
Address
Address
201 N Lakemont Ave SUITE 200, Winter Park, FL 32792
National Provider ID: 1295106334
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DOC PAM, PA at bizstanding.com

DOC PAM, PA

Winter Park, FL

Registration:
Oct 8, 2013
Addresses:
1719 Loch Berry Rd, Winter Park, FL 32789 (Physical)
1755 Carollee Ln, Winter Park, FL 32789
State ID:
P13000082836
Business type:
Florida Profit Corporation
Director, Presidents:
Trout, Pamela C, M.d, 1719 Loch Berry Rd, Winter Park, FL 32789 (Physical),Pamela C. Trout (Director, President)
Agent:
Winderweedle, Haines, Ward & Woodman, Pa,1500 Bank Of America Ctr, Orlando, FL 32801 (Physical)
EIN:
46-3837382

Ambulatory Health licenses in Florida










Other Doctors licenses in Florida