Provider Demographics
NPI:1114992906
Name:STRASSER, EUGENE J (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:J
Last Name:STRASSER
Suffix:
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 1:1505 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8921
Mailing Address - Country:US
Mailing Address - Phone:954-755-3888
Mailing Address - Fax:954-755-0742
Practice Address - Street 1:1505 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8921
Practice Address - Country:US
Practice Address - Phone:954-755-3888
Practice Address - Fax:954-755-0742
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33959174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066776500Medicaid
D62996Medicare UPIN
FLP00742655Medicare PIN
FL066776500Medicaid