Provider Demographics
NPI:1750021523
Name:STRUMKOVSKY, VLAD
Entity type:Individual
Prefix:
First Name:VLAD
Middle Name:
Last Name:STRUMKOVSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 HIBISCUS LN
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5610
Mailing Address - Country:US
Mailing Address - Phone:908-720-4263
Mailing Address - Fax:
Practice Address - Street 1:7921 SW HIGHWAY 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-3976
Practice Address - Country:US
Practice Address - Phone:352-854-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist