Provider Demographics
NPI:1760746408
Name:TRAPP, MARLA MICKEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARLA
Middle Name:MICKEL
Last Name:TRAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARLA
Other - Middle Name:
Other - Last Name:MICKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:734 ELKCAM BLVD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-2626
Mailing Address - Country:US
Mailing Address - Phone:386-532-8200
Mailing Address - Fax:386-774-6862
Practice Address - Street 1:734 ELKCAM BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-2626
Practice Address - Country:US
Practice Address - Phone:865-328-2003
Practice Address - Fax:386-774-6862
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105799207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine