Individual
GREGORY KUBICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME159644
FL
Other
Enumeration date
12/28/2006
Last updated
12/16/2024
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