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Individual

MS. ANN DORSEY RUBIN

Active
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Individual

MS. ANN DORSEY RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

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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