Provider Demographics
NPI:1679513410
Name:HRUBY, ROBERT E (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:HRUBY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:550 TWIN CITIES BLVD.
Practice Address - Street 2:SUITE C
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578
Practice Address - Country:US
Practice Address - Phone:850-678-6601
Practice Address - Fax:850-678-0842
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2017-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME83204208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01104371OtherRAILROAD MCR
FL592-21044OtherBCBS OF AL
FL045418400Medicaid
FL7305932OtherCIGNA
FLP01809514OtherCLEAR HEALTH ALLIANCE
FL264690100Medicaid
FL368325OtherWELLCARE
FL47947OtherBCBS FL
FL264690100Medicaid
FL045418400Medicaid