Provider Demographics
NPI:1245487818
Name:ROBERT G STRATHMAN MD PA
Entity type:Organization
Organization Name:ROBERT G STRATHMAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:STRATHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-368-5877
Mailing Address - Street 1:260 BETH STACEY BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6013
Mailing Address - Country:US
Mailing Address - Phone:239-369-5877
Mailing Address - Fax:239-368-7988
Practice Address - Street 1:260 BETH STACEY BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6013
Practice Address - Country:US
Practice Address - Phone:239-369-5877
Practice Address - Fax:239-368-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0060180207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054870700Medicaid
FL12492OtherBCBS
FLE89619Medicare UPIN