Provider Demographics
NPI:1366534653
Name:STROWBRIDGE, AMY AMALIA (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:AMALIA
Last Name:STROWBRIDGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:242 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-5212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6440 SOUTH MILLROCK DRIVE SUITE 175
Practice Address - Street 2:COMPHEALTH
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121
Practice Address - Country:US
Practice Address - Phone:801-930-3441
Practice Address - Fax:866-588-1013
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUM-23252085R0001X
GUEMTL-2022-0242085R0001X
FL966782085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAA926Medicare PIN