John Strub, M.D.
Internal Medicine in Melbourne, FL. Individual provider (NPI-1).
NPI number1932394814
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1932394814
- Entity type
- Individual (NPI-1)
- Name
- John Strub
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2007
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME103528 | FL | Yes |
Practice location
1223 Gateway Dr Ste 1aMelbourne, FL 32901-2607
Phone 321-361-5616 · Fax 321-409-1792
Mailing address
3300 S Fiske BlvdRockledge, FL 32955-4306
Phone 321-361-5616
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