Individual
DR. MARK S. RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9776 BONITA BEACH RD SE, #201A, BONITA SPRINGS, FL 34135-4773
(239) 947-3092
(239) 947-1077
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 947-5298
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME66879
FL
207RX0202X
Medical Oncology Physician
Primary
ME66879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376392700
—
FL
01
—
830004845
RR MEDICARE
FL
Enumeration date
11/29/2005
Last updated
09/01/2022
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