# PEDIATRIC PULMONARY AND ASTHMA SPECIALISTS

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

## Provider details

- **NPI number:** 1902108749
- **Authorized official:** DR. MARIO RUB M.D. (PRESIDENT)
- **Authorized official phone:** (305) 931-1812

## Contact information

- **Practice address:** 20776 W DIXIE HWY, MIAMI, FL 33180-1146
- **Practice address phone:** (905) 931-1812
- **Practice address fax:** (305) 931-1632
- **Mailing address:** 20776 W DIXIE HWY, MIAMI, FL 33180-1146
- **Mailing address phone:** (905) 931-1812
- **Mailing address fax:** (305) 931-1632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | ME0069331 | FL | Yes |

## Other

- **Enumeration date:** 11/30/2010
- **Last updated:** 11/30/2010