Healthcare Provider Details

I. General information

NPI: 1811209596
Provider Name (Legal Business Name): PHILIPP NICOLAS STREUBEL M,D,
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PHILIPP NICOLAS STREUBEL BERGENTHAL M.D.

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3609
US

IV. Provider business mailing address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3609
US

V. Phone/Fax

Practice location:
  • Phone: 954-659-5430
  • Fax: 546-595-4279
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME151953
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME151953
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: