Provider Demographics
NPI:1578635033
Name:STERGHOS, STRATTON N JR (MD)
Entity Type:Individual
Prefix:DR
First Name:STRATTON
Middle Name:N
Last Name:STERGHOS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:201 NW 82ND AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7808
Mailing Address - Country:US
Mailing Address - Phone:954-472-2201
Mailing Address - Fax:954-423-3850
Practice Address - Street 1:201 NW 82ND AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7808
Practice Address - Country:US
Practice Address - Phone:954-472-2201
Practice Address - Fax:954-423-3850
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME57480207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF26199Medicare UPIN
FL10251Medicare ID - Type Unspecified