Provider Demographics
NPI:1528022043
Name:STRICKER, STEPHEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:STRICKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3801 BISCAYNE BLVD.
Mailing Address - Street 2:SUITE # 220
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-9800
Mailing Address - Country:US
Mailing Address - Phone:305-571-0620
Mailing Address - Fax:305-571-0634
Practice Address - Street 1:1611 NW 12 AVENUE
Practice Address - Street 2:REHAB BLDG 303
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-585-1111
Practice Address - Fax:305-571-0634
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME40673207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0430056-00Medicaid
FLD64055Medicare UPIN
FL0430056-00Medicaid