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NPI Code Detail

MEDICARE: GUY S STRAUSS D.O.

MEDICARE: GUY S STRAUSS D.O.
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
1207R00000XInternal Medicine PhysicianTL1019SC
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianTL1019SC
3207R00000XInternal Medicine PhysicianOS4706FL
4207RC0200XCritical Care Medicine (Internal Medicine) PhysicianOS4706FL

General Provider Information

NPI Number : 1578570727
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUY S STRAUSS D.O.
Provider Business Mailing Address
First Line : 404 NW HALL OF FAME DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-4833
Country : US
Telephone Number : 386-719-2540
Fax Number : 386-752-9073
Provider Business Practice Location Address
First Line : 404 NW HALL OF FAME DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-4833
Country : US
Telephone Number : 386-719-2540
Fax Number : 386-752-9073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/21/2011

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Directions to “ GUY S STRAUSS D.O.” Practice Location

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