MEDICARE: DR. JOHN ROBERT STRIPLING III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	ME102983	FL
2	208D00000X	General Practice Physician	29800	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043248537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ROBERT STRIPLING III M.D.

Provider Business Mailing Address
First Line	:	7606 PINE TREE LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-7832
Country	:	US
Telephone Number	:	404-433-6960
Fax Number	:	561-538-8420

Provider Business Practice Location Address
First Line	:	7606 PINE TREE LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-7832
Country	:	US
Telephone Number	:	404-433-6960
Fax Number	:	561-538-8420

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	12/02/2014

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