Individual
DR. THEODORE STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-6000
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430
(386) 274-7800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME145820
FL
207P00000X
Emergency Medicine Physician
TRN24747
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN24747
FL
Other
Enumeration date
03/25/2017
Last updated
07/27/2020
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