Provider Demographics
NPI:1528623493
Name:STRATFORD HEALTH
Entity type:Organization
Organization Name:STRATFORD HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANSHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-984-0636
Mailing Address - Street 1:4707 E BUSCH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-6018
Mailing Address - Country:US
Mailing Address - Phone:813-999-0677
Mailing Address - Fax:
Practice Address - Street 1:4707 E BUSCH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-6018
Practice Address - Country:US
Practice Address - Phone:813-999-0677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies