Provider Demographics
NPI:1336494483
Name:EUGENE J. STRASSER, M.D., P.A.
Entity Type:Organization
Organization Name:EUGENE J. STRASSER, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:STRASSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-755-3888
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME339592086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
77287Medicare UPIN