| Dr Kenneth J Stroub, DO | |
|
978 Heritage Pass, Davenport, FL 33896-9117 | |
| (407) 635-5956 | |
| (321) 841-6974 |
| Full Name | Dr Kenneth J Stroub |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 978 Heritage Pass, Davenport, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447279674 | NPI | - | NPPES |
| 3074528 | Medicaid | NH | |
| 00758898C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15495 (New Hampshire) | Secondary |
| 207Q00000X | Family Medicine | 043788 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | OS14643 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Orlando Health | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Physicians Network Inc | 7719026251 | 209 |
| Entity Name | Orlando Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568693554 PECOS PAC ID: 7719026251 Enrollment ID: O20091123000506 |
| Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth J Stroub, DO 978 Heritage Pass, Davenport, FL 33896-9117 Ph: (407) 635-5956 | Dr Kenneth J Stroub, DO 978 Heritage Pass, Davenport, FL 33896-9117 Ph: (407) 635-5956 |
Mr. Neftali Vazquez Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5602 Loma Vista Ct, Davenport, FL 33896 Phone: 347-755-2311 | |
Dr. Ambica Soni, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Park Place Blvd Ste C, Davenport, FL 33837 Phone: 863-588-4775 Fax: 863-422-7664 | |
Maria Nina Concepcion, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 39217 Highway 27, Suite D, Davenport, FL 33837 Phone: 973-641-9408 | |
Dr. Eyad El Far, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4971 Fax: 863-419-2264 | |
Juan Carlos Escandon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Ridge Center Dr Ste 104, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 | |
Dr. Cooper Vissers, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 40124 Highway 27 Ste 101, Davenport, FL 33837 Phone: 407-390-6480 |