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Individual

TARA LYNN RUBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6859 SW 18TH ST, STE 200, BOCA RATON, FL 33433-7015
(561) 368-3775
(561) 392-7139
Mailing address
6859 SW 18TH ST, STE 200, BOCA RATON, FL 33433-7015
(561) 368-3775
(561) 392-7139

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD458251
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME143781
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103133077
PA
Enumeration date
05/16/2012
Last updated
12/13/2023
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