MEDICARE: DR. STRATTON N STERGHOS JR. 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	207VX0000X	Obstetrics Physician	ME57480	FL
2	2083A0100X	Aerospace Medicine Physician	ME57480	FL

General Provider Information

NPI Number	:	1578635033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STRATTON N STERGHOS JR. M.D.

Provider Business Mailing Address
First Line	:	3117 SPRING GLEN RD
Second Line	:	STE 408
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-5977
Country	:	US
Telephone Number	:	904-858-1009
Fax Number	:	252-277-2643

Provider Business Practice Location Address
First Line	:	3117 SPRING GLEN RD
Second Line	:	STE 408
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-5977
Country	:	US
Telephone Number	:	904-858-1009
Fax Number	:	252-277-2643

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	04/28/2025

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