Individual
DR. SCOTT DAVID STREISAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7421 N UNIVERSITY DR, SUITE 106, TAMARAC, FL 33321-2952
(954) 722-0150
(954) 722-0188
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME82964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01964
BCBS
FL
01
—
10693
DIMENSION
FL
01
—
1237593
WELLCARE
FL
01
—
296043
AVMED
FL
01
—
7863323
AETNA
FL
01
—
9929882
CIGNA
FL
01
—
P1035806
FREEDOM
FL
01
—
P971569
OPTIMUM
FL
Enumeration date
10/24/2005
Last updated
08/18/2016
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