Healthcare Provider Details

I. General information

NPI: 1013973692
Provider Name (Legal Business Name): JEFFREY B STRICKER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JEFFREY B STRICKER DO

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 WESTSIDE DR
DOTHAN AL
36303-1908
US

IV. Provider business mailing address

2505 HARRISON AVE
PANAMA CITY FL
32405-4464
US

V. Phone/Fax

Practice location:
  • Phone: 877-231-3376
  • Fax: 850-522-8354
Mailing address:
  • Phone: 850-233-3376
  • Fax: 850-522-8354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number1463
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number1463
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberOS8467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: