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General NPI Number Information
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NPI Number | 1275700700
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Entity Type | Organization
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Legal Business Name | STROM EYE CENTER PA
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 2020 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3801
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Country | US
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Telephone | 941-365-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3801
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Country | US
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Telephone | 941-365-9700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL JERRY STROM JR.
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Credential | M.D.
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Telephone | 941-365-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME86885
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License Number State | FL
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