Individual provider Active NPI

Selena Soviravong Strassner, MD

  • Pediatrics Physician
  • Lutz, FL
National Provider Identifier
1932737251
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME162216 Issued in FL
Practice address
1854 Oak Grove Blvd
Lutz, FL 33559-8605
Phone
(813) 948-6133
Fax
(813) 948-3460
NPI assigned
Mar 31, 2020
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME162216 FL Primary

Addresses

Primary practice location

1854 Oak Grove Blvd
Lutz, FL 33559-8605

Mailing address

720 Brooker Creek Blvd Ste 215
Oldsmar, FL 34677-2937
Phone (813) 854-2003

Other names 1

  • Selena Vimonlath Soviravong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME162216FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Health Care Alliance, PA Pediatrics CurrentSince Jun 18, 2023 Accepting new patients
Pediatric Health Care Alliance, PA Pediatrics PastSince Jun 18, 2023 Accepting new patients

Locations

1854 Oak Grove Blvd
Lutz, FL 33559
Phone (813) 471-9709

720 Brooker Creek Blvd
Ste 215
Oldsmar, FL 34677
Phone (813) 854-2003

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1932737251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BROOKER CREEK BLVD STE 215",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772937",
            "telephone_number": "813-854-2003",
            "fax_number": "813-436-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 OAK GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335598605",
            "telephone_number": "813-948-6133",
            "fax_number": "813-948-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRASSNER",
        "first_name": "SELENA",
        "middle_name": "SOVIRAVONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME162216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENA",
            "last_name": "SOVIRAVONG",
            "middle_name": "VIMONLATH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.