MEDICARE: DR. CHARLES P STROBLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	ME86615	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487640702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES P STROBLE MD

Provider Business Mailing Address
First Line	:	PO BOX 13024
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32591-3024
Country	:	US
Telephone Number	:	850-435-8300
Fax Number	:	850-435-8352

Provider Business Practice Location Address
First Line	:	9800 US HIGHWAY 98 W
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32550-4964
Country	:	US
Telephone Number	:	850-278-3555
Fax Number	:	850-278-3562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	07/08/2007

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