Individual
DR. EDWIN L STROUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958
(772) 589-3186
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00018398
WA
207P00000X
Emergency Medicine Physician
Primary
ME121393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8306912
—
WA
01
—
G000362000
MEDICARE GROUP
WA
Enumeration date
02/12/2007
Last updated
08/01/2018
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