# PETER A.D. RUBIN, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235360546
- **Authorized official:** DR. PETER A.D. RUBIN M.D. (PRESIDENT)
- **Authorized official phone:** (561) 729-7771

## Contact information

- **Practice address:** 3401 PGA BLVD STE 430, PALM BEACH GARDENS, FL 33410-2825
- **Practice address phone:** (561) 729-7771
- **Mailing address:** 3401 PGA BLVD STE 430, PALM BEACH GARDENS, FL 33410-2825
- **Mailing address phone:** (561) 729-7771
- **Mailing address fax:** (561) 491-5507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 71471 | MA | — |
| 207W00000X | Ophthalmology Physician | ME 103339 | FL | Yes |

## Other

- **Enumeration date:** 08/04/2009
- **Last updated:** 06/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3070948 | — | MA |
| 01 | — | J09143 | MEDICARE ID- TYPE UNSPECIFIED | MA |