MEDICARE: CONSTANCE STRBICH D.O.

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	207Q00000X	Family Medicine Physician	OS18338	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080104428	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010F476090	OTHER	MI	BCBS
2	5640006	OTHER	MA	BCBS PIN

General Provider Information

NPI Number	:	1033148978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONSTANCE STRBICH D.O.

Provider Business Mailing Address
First Line	:	2828 SOUTH MCCALL ROAD
Second Line	:	SUITE 21
City	:	ENGLEWOOD
State	:	FL
Zip	:	34224-9517
Country	:	US
Telephone Number	:	941-290-5111
Fax Number	:	941-473-3583

Provider Business Practice Location Address
First Line	:	2828 SOUTH MCCALL ROAD
Second Line	:	SUITE 21
City	:	ENGLEWOOD
State	:	FL
Zip	:	34224-9517
Country	:	US
Telephone Number	:	941-290-5111
Fax Number	:	941-473-3583

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	07/11/2024

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Directions to “ CONSTANCE STRBICH D.O.” Practice Location

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