MEDICARE: STEPHEN A. STRAUBING MD.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME119623	FL
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	ME119623	FL
3	207RA0401X	Addiction Medicine (Internal Medicine) Physician	ME119623	FL
4	207V00000X	Obstetrics & Gynecology Physician	35040988	OH
5	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	TRN18077	FL
6	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	ME119623	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1184674848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN A. STRAUBING MD.

Provider Business Mailing Address
First Line	:	4300 SW 13TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-4006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 SW 13TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-4006
Country	:	US
Telephone Number	:	352-374-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	06/11/2020

4300 SW 13TH ST # 27
GAINESVILLE, FL
32608-4006

Practice Phone: 352-374-5600
Practice Fax: