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Individual

DR. MARK STEPHEN RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1545 HAND AVENUE, SUITE B3, ORMOND BEACH, FL 32174-1140
(386) 673-3939
(386) 677-5374
Mailing address
1545 HAND AVENUE, SUITE B3, ORMOND BEACH, FL 32174-1140
(386) 673-3939
(386) 677-5374

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0047655
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052266000
FL
Enumeration date
07/14/2006
Last updated
05/13/2009
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