Provider Demographics
NPI:1942245352
Name:STRENGER, KEITH DAVID (MD)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:DAVID
Last Name:STRENGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 17TH ST UNIT 202
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4939
Mailing Address - Country:US
Mailing Address - Phone:407-906-1328
Mailing Address - Fax:866-425-8143
Practice Address - Street 1:2801 17TH ST UNIT 202
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4939
Practice Address - Country:US
Practice Address - Phone:407-906-1328
Practice Address - Fax:866-425-8143
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07667500207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH96744Medicare UPIN
NJ074198C81Medicare ID - Type UnspecifiedINDIVIDUAL