Kubicek, Gregory

Kubicek, Gregory is an individual health care provider with primary practice located at 1475 Nw 12Th Ave , Miami FL 33136-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kubicek, Gregory can be contacted via phone (305) 243-5302.

Contact Information

Primary practice address
1475 Nw 12Th Ave Miami FL 33136-1002
Phone: (305) 243-5302
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25MA09120800 New Jersey
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME159644 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD436715 Pennsylvania

Profile Details

NPI number 1558427153
LBN Legal business name Kubicek, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jan 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558427153 NPPES
Pennsylvania MEDICAID 1022815670002
Pennsylvania Other 11948275
Pennsylvania MEDICAID 1022815670001

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