Individual
GREGORY BRAD RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1250 PINE RIDGE RD STE 202, NAPLES, FL 34108-8913
(239) 325-1135
(239) 325-1205
Mailing address
3451 PINE RIDGE RD BLDG 601, NAPLES, FL 34109-3922
(394) 493-0722
(877) 334-1886
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
04125
KY
207R00000X
Internal Medicine Physician
OS14970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JL158
MEDICARE
FL
01
—
T5A5K
BCBS
FL
Enumeration date
04/21/2014
Last updated
04/17/2025
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