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Individual

BENY RUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21110 BISCAYNE BLVD STE 106, AVENTURA, FL 33180-1228
(305) 932-1007
(305) 696-6225
Mailing address
21110 BISCAYNE BLVD STE 106, AVENTURA, FL 33180-1228
(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
0000684
CIGNA 2
FL
01
000100573
HUMANA
FL
01
002547
NHP
FL
05
051961801
FL
01
102898
AVMED
FL
01
10398
BCBS HEALTH OPTIONS
FL
01
1202260
UNITED
FL
01
1272036
UNITED MEDICAID
FL
01
1682002007
CIGNA
FL
01
4127018
AETNA
FL
01
GHI
2699837
FL
Enumeration date
04/21/2006
Last updated
11/14/2023
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