Basic Information
Provider Information
NPI: 1942662192
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STROSSNER
FirstName: DAVID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6041 SW 54TH ST STE 200
Address2:  
City: OCALA
State: FL
PostalCode: 344745521
CountryCode: US
TelephoneNumber: 3528578417
FaxNumber: 3528772083
Practice Location
Address1: 6041 SW 54TH ST STE 200
Address2:  
City: OCALA
State: FL
PostalCode: 344745521
CountryCode: US
TelephoneNumber: 3528578417
FaxNumber: 3528772083
Other Information
ProviderEnumerationDate: 03/27/2016
LastUpdateDate: 12/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000XME137726FLN Allopathic & Osteopathic PhysiciansGeneral Practice 
207Q00000XME137726FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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