Basic Information
Provider Information
NPI: 1609870443
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STROBBE
FirstName: STEVEN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11528 US HIGHWAY 19
Address2:  
City: PORT RICHEY
State: FL
PostalCode: 346681442
CountryCode: US
TelephoneNumber: 7278682151
FaxNumber: 7278688251
Practice Location
Address1: 9238 US HIGHWAY 19
Address2:  
City: PORT RICHEY
State: FL
PostalCode: 346684853
CountryCode: US
TelephoneNumber: 7278498491
FaxNumber: 7278163510
Other Information
ProviderEnumerationDate: 06/09/2005
LastUpdateDate: 05/15/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XOS0003869FLY Allopathic & Osteopathic PhysiciansFamily Medicine 
207RI0011XOS3869FLN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

ID Information
IDTypeStateIssuerDescription
0137101FLUNIVERSAL HEALTH CAREOTHER
26004601FLAVMEDOTHER
1115150201FLCITRUS GCMC IIOTHER
01-0539601FLUNITED HEALTH CAREOTHER
1115150101FLCITRUS GCMCIOTHER
253317901FLAETNA HMOOTHER
01004545501FLRAILROAD MEDICAREOTHER
06626820005FL MEDICAID
8218901FLBLUE CROSS BLUE SHIELDOTHER
560609101FLAETNA PPOOTHER
610043401FLGHIOTHER


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