Provider Demographics
NPI:1801862487
Name:STROBBE, AMY M (DO)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:STROBBE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:M
Other - Last Name:KENZY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:11528 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-1442
Mailing Address - Country:US
Mailing Address - Phone:727-868-2151
Mailing Address - Fax:727-819-8362
Practice Address - Street 1:9238 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-4853
Practice Address - Country:US
Practice Address - Phone:727-868-2151
Practice Address - Fax:727-849-3483
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9719207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2806128OtherUNITED HEALTHCARE
FL15293802OtherCITRUS GCMCII
FL280489100Medicaid
FL7415947OtherAETNA
FL13449OtherUNIVERSAL HEALTHCARE
FL15293801OtherCITRUS GCMC1
FL92805OtherBLUE CROSS BLUE SHIELD FLORIDA
FL0436870OtherGHI
FL303265OtherAVMED
FLP00624890OtherRAILROAD MEDICARE
FL303265OtherAVMED
FL280489100Medicaid