Organization
MARK P RUBINO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P RUBINO MD (PRESIDENT/ OWNER)
(239) 261-6876
Entity
Organization
Contact information
Practice address
1441 RIDGE ST, NAPLES, FL 34103-4211
(239) 261-6876
(239) 643-4969
Mailing address
848 1ST AVE N STE 340, NAPLES, FL 34102-6063
(239) 261-6876
(239) 643-4969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME75629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2014426
CLIA LICENSE
FL
01
—
49182
BCBS OF FL
FL
01
—
DE5164
MEDICARE RAILROAD GROUP
FL
01
—
E2203T
INDIVIUAL MEDICARE PIN
FL
01
—
P00297710
MEDICARE RAILROAD PIN
FL
Enumeration date
12/05/2007
Last updated
01/02/2026
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