Provider Demographics
NPI:1780997734
Name:KEEGAN STROSSER, JULIE ANN (PA-C)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:KEEGAN STROSSER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 NE 213TH ST STE 801
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1264
Mailing Address - Country:US
Mailing Address - Phone:305-652-6676
Mailing Address - Fax:305-932-6335
Practice Address - Street 1:2801 NE 213TH ST STE 801
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1264
Practice Address - Country:US
Practice Address - Phone:305-652-6676
Practice Address - Fax:305-932-6335
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054374363A00000X
FLPA9108862363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant