Doctor Name: | BRUCE STRICKLAND |
NPI Number: | 1700850880 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA2075 |
Business Practice Address: | 105 N Doverplum Ave Poinciana, FL - 34758 |
Business Phone Number: | 4079438600 |
Business Fax Number: | 4079438625 |
Mailing Address: | 8846 Ladrido Lane, ORLANDO |
State: | FL |
Postal Code: | 32836 |
Phone Number: | 4078769979 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 01/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA2075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |