Healthcare Provider Details

I. General information

NPI: 1760440333
Provider Name (Legal Business Name): SCOTT S STROLLA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TEAM FEET, INC

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 01/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR SUITE 4100
WEST PALM BEACH FL
33401-3404
US

IV. Provider business mailing address

1411 N FLAGLER DR SUITE 4100
WEST PALM BEACH FL
33401-3404
US

V. Phone/Fax

Practice location:
  • Phone: 561-659-3930
  • Fax:
Mailing address:
  • Phone: 561-659-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO2462
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: