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NPI Code Detail

MEDICARE: DAVID J STROH MD

MEDICARE:   DAVID J STROH  MD
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
1207UN0901XNuclear Cardiology PhysicianOS8967FL
2207RC0000XCardiovascular Disease PhysicianOS8967FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00229258OTHERFLRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1144286212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID J STROH MD
Provider Business Mailing Address
First Line : PO BOX 43667
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32203-3667
Country : US
Telephone Number : 904-720-0799
Fax Number : 904-493-8015
Provider Business Practice Location Address
First Line : 14534 OLD SAINT AUGUSTINE RD STE 3420
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-2616
Country : US
Telephone Number : 904-493-8001
Fax Number : 904-338-0852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 04/01/2020

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Directions to “ DAVID J STROH MD” Practice Location

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