Provider Demographics
NPI:1750656674
Name:STRAUS, JEFFREY GLENN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:GLENN
Last Name:STRAUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 EMERALD BAY DR
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-3783
Mailing Address - Country:US
Mailing Address - Phone:850-830-9888
Mailing Address - Fax:850-650-6513
Practice Address - Street 1:401 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2558
Practice Address - Country:US
Practice Address - Phone:850-830-9888
Practice Address - Fax:850-650-6513
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA06909R207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology