Healthcare Provider Details

I. General information

NPI: 1275868473
Provider Name (Legal Business Name): MARY JANE STRANDBERG ARNP, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2009
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 MILITARY TRL 209
JUPITER FL
33458-7040
US

IV. Provider business mailing address

12977 SOUTHERN BLVD BLDG 5 SUITE 200
LOXAHATCHEE FL
33470-9255
US

V. Phone/Fax

Practice location:
  • Phone: 561-747-1987
  • Fax: 561-747-1313
Mailing address:
  • Phone: 561-798-8184
  • Fax: 561-793-2588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9231865
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: