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
601 N FLAMINGO RD STE 103, PEMBROKE PINES, FL 33028-1007
(305) 932-1007
(305) 696-6225
Mailing address
21110 BISCAYNE BLVD STE 308, AVENTURA, FL 33180-1229
(305) 932-1007
(305) 696-6225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
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
FL
05
—
051960000
—
FL
05
—
051961801
—
FL
05
—
051963400
—
FL
Enumeration date
10/04/2013
Last updated
02/26/2016
Update your record
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