Individual
DR. FORREST SCOT RUBENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 NW PEACOCK BLVD, PORT ST LUCIE, FL 34986-2212
(800) 991-6117
(888) 812-8191
Mailing address
3810 NORTHDALE BLVD STE 150, TAMPA, FL 33624-1871
(813) 961-1331
(888) 850-8316
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.121627
IL
2086S0129X
Vascular Surgery Physician
0101251201
VA
2086S0129X
Vascular Surgery Physician
Primary
ME133023
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036.121627
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA09455300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440124
—
NJ
05
—
04629998
—
NY
05
—
100424300
—
FL
Enumeration date
07/21/2006
Last updated
01/12/2021
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