MEDICARE: ROBERT STRYKER

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	104100000X	Social Worker	SW7059	FL

General Provider Information

NPI Number	:	1427324110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT STRYKER

Provider Business Mailing Address
First Line	:	2451 CUMBERLAND PKWY SE STE 3427
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-6136
Country	:	US
Telephone Number	:	678-371-7189
Fax Number	:	239-747-7177

Provider Business Practice Location Address
First Line	:	4560 VINSETTA AVE
Second Line	:
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33903-4654
Country	:	US
Telephone Number	:	678-371-7189
Fax Number	:	239-747-7177

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

Provider Enumeration Date	:	03/27/2012
Last Update Date	:	06/25/2024

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