Healthcare Provider Details

I. General information

NPI: 1033671151
Provider Name (Legal Business Name): STEVEN KOBRIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2019
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 NE 213TH ST STE 101
AVENTURA FL
33180-1264
US

IV. Provider business mailing address

2801 NE 213TH ST STE 101
AVENTURA FL
33180-1264
US

V. Phone/Fax

Practice location:
  • Phone: 305-466-7333
  • Fax: 786-651-2177
Mailing address:
  • Phone: 305-466-7333
  • Fax: 786-651-2177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME162306
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: