Organization
RUBICONMD FLORIDA PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ADDO MD (AUTHORIZED OFFICIAL)
(860) 262-4489
Entity
Organization
Contact information
Practice address
4207 S DALE MABRY HWY UNIT 4105, TAMPA, FL 33611-1434
(860) 262-4489
Mailing address
4953 MCGILL WAY, SAN DIEGO, CA 92130-2720
(781) 879-6760
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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