Provider Demographics
NPI:1699714519
Name:STUART B STRIKOWSKY DO PA
Entity type:Organization
Organization Name:STUART B STRIKOWSKY DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:B
Authorized Official - Last Name:STRIKOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-796-2444
Mailing Address - Street 1:2724 PARK DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-1020
Mailing Address - Country:US
Mailing Address - Phone:727-796-2444
Mailing Address - Fax:727-796-7653
Practice Address - Street 1:2724 PARK DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1020
Practice Address - Country:US
Practice Address - Phone:727-796-2444
Practice Address - Fax:727-796-7653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K9590Medicare ID - Type Unspecified