Healthcare Provider Details

I. General information

NPI: 1942245352
Provider Name (Legal Business Name): KEITH DAVID STRENGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 17TH ST UNIT 202
SAINT CLOUD FL
34769-4939
US

IV. Provider business mailing address

2801 17TH ST UNIT 202
SAINT CLOUD FL
34769-4939
US

V. Phone/Fax

Practice location:
  • Phone: 407-906-1328
  • Fax: 866-425-8143
Mailing address:
  • Phone: 407-906-1328
  • Fax: 866-425-8143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25MA07667500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME144438
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: