Provider Demographics
NPI:1023243102
Name:STEVEN STRUMWASSER, PA
Entity type:Organization
Organization Name:STEVEN STRUMWASSER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:STRUMWASSER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-992-8893
Mailing Address - Street 1:12550 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2541
Mailing Address - Country:US
Mailing Address - Phone:305-992-8893
Mailing Address - Fax:305-899-9221
Practice Address - Street 1:12550 BISCAYNE BLVD
Practice Address - Street 2:SUITE 408
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2544
Practice Address - Country:US
Practice Address - Phone:305-992-8893
Practice Address - Fax:305-899-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0005452103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59896AMedicare PIN