Individual
MS. ANN DORSEY RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
960 LEARNING WAY, TALLAHASSEE, FL 32306-4178
(850) 644-6230
(850) 644-4251
Mailing address
960 LEARNING WAY, TALLAHASSEE, FL 32306-4178
(850) 644-6230
(850) 644-4251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104782
FL
363AM0700X
Medical Physician Assistant
Primary
PA9104782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000637300
—
FL
01
—
99388
MEDICARE GROUP ASSOCIATION PTAN
FL
Enumeration date
10/07/2008
Last updated
11/16/2016
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