Healthcare Provider Details

I. General information

NPI: 1366418295
Provider Name (Legal Business Name): JON F. STROHMEYER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 GOODLETTE RD N SUITE 100
NAPLES FL
34102-5628
US

IV. Provider business mailing address

702 GOODLETTE RD N SUITE 100
NAPLES FL
34102-5628
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-5525
  • Fax: 239-261-0933
Mailing address:
  • Phone: 239-261-5525
  • Fax: 239-261-0933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME57826
License Number StateFL

VIII. Authorized Official

Name: JON FREDRIC STROHMEYER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 239-261-5525