Organization
CYNTHIA LAST RUBIN, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA LAST RUBIN PHD (PRESIDENT)
(561) 716-1262
Entity
Organization
Contact information
Practice address
2499 GLADES RD, BOCA RATON, FL 33431-7209
(561) 955-1200
Mailing address
10746 STONEBRIDGE BLVD, BOCA RATON, FL 33498-6413
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
PY4425
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PY4425
FL
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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