Provider Demographics
NPI:1669861480
Name:STROZIER, SHAINA (PA-C)
Entity Type:Individual
Prefix:
First Name:SHAINA
Middle Name:
Last Name:STROZIER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 SANDLAKE COMMONS BLVD STE 1102
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8031
Mailing Address - Country:US
Mailing Address - Phone:321-939-0222
Mailing Address - Fax:954-481-9917
Practice Address - Street 1:7350 SANDLAKE COMMONS BLVD STE 1102
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8031
Practice Address - Country:US
Practice Address - Phone:321-939-0222
Practice Address - Fax:954-481-9917
Is Sole Proprietor?:No
Enumeration Date:2015-01-16
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108448363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA9108448OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH