Provider Demographics
NPI:1043248537
Name:STRIPLING, JOHN ROBERT III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ROBERT
Last Name:STRIPLING
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 PINE TREE LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7832
Mailing Address - Country:US
Mailing Address - Phone:404-433-6960
Mailing Address - Fax:561-538-8420
Practice Address - Street 1:7606 PINE TREE LN
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7832
Practice Address - Country:US
Practice Address - Phone:404-433-6960
Practice Address - Fax:561-538-8420
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102983208800000X
GA29800208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00398428AMedicaid
GA00398428AMedicaid
GAB30820Medicare UPIN