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Individual

ROBERT JOSEPH GRUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12880 COMMODITY PL, C/O UNITED SURGICAL ASSISTANTS, TAMPA, FL 33626-3101
(877) 872-5788
(866) 698-7272
Mailing address
PO BOX 21686, C/O UNITED SURGICAL ASSISTANTS, TAMPA, FL 33622-1686

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME35421
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00290628
RAILROAD MEDICARE
FL
Enumeration date
04/07/2006
Last updated
07/11/2007
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