Provider Demographics
NPI:1316152689
Name:TROFIBIO, ANA ELSA
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:ELSA
Last Name:TROFIBIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 COREY RD
Mailing Address - Street 2:
Mailing Address - City:MALABAR
Mailing Address - State:FL
Mailing Address - Zip Code:32950-3831
Mailing Address - Country:US
Mailing Address - Phone:786-281-6763
Mailing Address - Fax:877-442-7773
Practice Address - Street 1:3040 COREY RD
Practice Address - Street 2:
Practice Address - City:MALABAR
Practice Address - State:FL
Practice Address - Zip Code:32950-3831
Practice Address - Country:US
Practice Address - Phone:786-281-6763
Practice Address - Fax:877-442-7773
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist