Individual
DR. JERRY ALAN RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6900 TURKEY LAKE RD, SUITE 1-7, ORLANDO, FL 32819-4707
(321) 939-3300
(321) 939-3303
Mailing address
6900 TURKEY LAKE RD, SUITE 1-7, ORLANDO, FL 32819-4707
(321) 939-3300
(321) 939-3303
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
ME 66320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25310Y
MEDICARE PTAN
FL
Enumeration date
08/02/2006
Last updated
03/15/2018
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