Provider Demographics
NPI:1639343098
Name:STROUSE, RAYMOND LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:LAWRENCE
Last Name:STROUSE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 S FEDERAL HWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-7500
Mailing Address - Country:US
Mailing Address - Phone:954-782-1200
Mailing Address - Fax:954-782-2208
Practice Address - Street 1:1600 S FEDERAL HWY
Practice Address - Street 2:SUITE 300
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-7500
Practice Address - Country:US
Practice Address - Phone:954-782-1200
Practice Address - Fax:954-782-2208
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor