Provider Demographics
NPI:1275214413
Name:STROHHACKER, KARENA DENISE
Entity Type:Individual
Prefix:
First Name:KARENA
Middle Name:DENISE
Last Name:STROHHACKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARENA
Other - Middle Name:DENISE
Other - Last Name:MAITLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 TAMPA GENERAL CIR FL 6
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3571
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 TAMPA GENERAL CIR FL 6
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3571
Practice Address - Country:US
Practice Address - Phone:813-259-0619
Practice Address - Fax:813-259-0620
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11027759363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL119494400Medicaid
FLGFYRBOtherBCBS