Provider Demographics
NPI:1922301654
Name:STRICKER MAYS MD, PA
Entity Type:Organization
Organization Name:STRICKER MAYS MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STRICKER
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-683-1100
Mailing Address - Street 1:131 E REDSTONE AVE
Mailing Address - Street 2:SUITE # 109
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-5326
Mailing Address - Country:US
Mailing Address - Phone:850-683-1100
Mailing Address - Fax:850-683-0599
Practice Address - Street 1:131 E REDSTONE AVE
Practice Address - Street 2:SUITE # 109
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-5326
Practice Address - Country:US
Practice Address - Phone:850-683-1100
Practice Address - Fax:850-683-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042462207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty