Individual
JACKIE STROHFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 E MELBOURNE AVE, 104, MELBOURNE, FL 32901-5970
(321) 951-7404
(321) 723-8527
Mailing address
20 E MELBOURNE AVE, 104, MELBOURNE, FL 32901-5970
(321) 951-7404
(321) 723-8527
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2932
FL
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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