Organization
KENNETH STRUBBE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH STRUBBE MD (PRESIDENT)
(305) 495-5873
Entity
Organization
Contact information
Practice address
7100 W 20TH AVE STE 314, HIALEAH, FL 33016-1811
(305) 827-5890
(305) 827-5893
Mailing address
7100 W 20TH AVE STE 314, HIALEAH, FL 33016-1811
(305) 827-5890
(305) 827-5893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
75694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254123802
—
FL
Enumeration date
01/14/2015
Last updated
01/13/2025
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