Provider Demographics
NPI:1467621664
Name:STRICSEK, DAVID PAUL (RRT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PAUL
Last Name:STRICSEK
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 COSMOS DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34690-6334
Mailing Address - Country:US
Mailing Address - Phone:727-937-6405
Mailing Address - Fax:
Practice Address - Street 1:1822 COSMOS DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-6334
Practice Address - Country:US
Practice Address - Phone:727-937-6405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT3738227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered