Individual
DR. STEPHEN LEWIS STROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
1301 PLANTATION ISLAND DR S STE 204, ST AUGUSTINE, FL 32080-3111
(904) 794-1824
(904) 794-4584
Mailing address
1301 PLANTATION ISLAND DR S STE 204, SAINT AUGUSTINE, FL 32080-3111
(904) 794-1824
(904) 794-4584
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN15749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN15749
STATE LICENSE
FL
Enumeration date
08/03/2006
Last updated
03/31/2025
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