Provider Demographics
NPI:1861669996
Name:JOHN L STRAUSSER MD PA
Entity Type:Organization
Organization Name:JOHN L STRAUSSER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:STRAUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-955-9096
Mailing Address - Street 1:1900 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3603
Mailing Address - Country:US
Mailing Address - Phone:941-955-9096
Mailing Address - Fax:
Practice Address - Street 1:1900 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3603
Practice Address - Country:US
Practice Address - Phone:941-955-9096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty