Organization
RUB PEDIATRICS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET NEUSCHATZ (ADMINISTRATOR)
(305) 932-1007
Entity
Organization
Contact information
Practice address
1190 NW 95TH ST, SUITE 409, MIAMI, FL 33150-2063
(305) 696-9490
(305) 696-6225
Mailing address
21110 BISCAYNE BLVD, SUITE 308, AVENTURA, FL 33180-1227
(305) 932-1007
(305) 696-6225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME54702
FL
208000000X
Pediatrics Physician
ME55002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000100573
HUMANA
FL
01
—
000101139
HUMANA
FL
01
—
00821
BCBS
—
01
—
01398168
AMERIGROUP
FL
01
—
01398181
AMERIGROUP
FL
01
—
01778539
AMERIGROUP
—
05
—
051960000
—
FL
05
—
051961801
—
FL
05
—
051963400
—
FL
01
—
1306802186
NPI
FL
01
—
1376509638
NPI
FL
Enumeration date
10/19/2007
Last updated
02/26/2016
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