Healthcare Provider Details

I. General information

NPI: 1629994777
Provider Name (Legal Business Name): HEATHER STROBEL M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 CONLAN BLVD NE STE 7
PALM BAY FL
32905-3559
US

IV. Provider business mailing address

1501 CONLAN BLVD NE STE 7
PALM BAY FL
32905-3559
US

V. Phone/Fax

Practice location:
  • Phone: 321-479-4083
  • Fax:
Mailing address:
  • Phone: 321-479-4083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberXXXXXXXXX
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: