Healthcare Provider Details

I. General information

NPI: 1770528077
Provider Name (Legal Business Name): TOBIAS NOBIGROT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 NW 5TH ST
MIAMI FL
33128-1616
US

IV. Provider business mailing address

1650 BAY DR
MIAMI BEACH FL
33141-4718
US

V. Phone/Fax

Practice location:
  • Phone: 305-577-4840
  • Fax: 305-373-7431
Mailing address:
  • Phone: 305-801-3428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME76100
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberME76100
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: