Provider Demographics
NPI:1679795348
Name:STRATTON, ROBERT JAMES (ARNP-CAS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JAMES
Last Name:STRATTON
Suffix:
Gender:M
Credentials:ARNP-CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:DELEON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32130-0279
Mailing Address - Country:US
Mailing Address - Phone:386-985-9574
Mailing Address - Fax:
Practice Address - Street 1:100 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1006
Practice Address - Country:US
Practice Address - Phone:407-875-3700
Practice Address - Fax:407-245-0013
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARNNP117192363L00000X
FLARNP2906752363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP0125OtherPIN
FL307368800Medicaid