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R. G. STRATT MD PA NPI 1790957215


NPI Information

NPI: 1790957215
Provider Name: R. G. STRATT, MD, PA

Doing Business As: BODYCARE CENTER FOR ADVANCED REJUVENATION

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
100 N FEDERAL HWY
SUITE C-2
FORT LAUDERDALE, FL
ZIP 33301
Phone: (954) 765-1316
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R. G. STRATT, MD, PA is a medical specialty clinic center in Fort Lauderdale, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). R. G. STRATT, MD, PA NPI is 1790957215. The provider is registered as an organization entity type.
The provider Is Doing Business As Bodycare Center For Advanced Rejuvenation.

The provider's business location address is:

100 N FEDERAL HWY
SUITE C-2
FORT LAUDERDALE, FL
ZIP 33301-129
Phone: (954) 765-1316
Fax: (954) 765-1461

The provider's authorized official is Rodger Geoffrey Stratt .
The authorized official title is Medical Director/owner and has the following contact phone number (954) 765-1316.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty408200FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G31763MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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