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Individual

MICHAEL ROBERT RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1550 BARKLEY CIRCLE, FORT MYERS, FL 33907
(239) 938-2000
(239) 278-0404
Mailing address
1550 BARKLEY CIRCLE, FORT MYERS, FL 33907
(239) 938-2000
(239) 278-0404

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME0038254
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME0038254
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
065418300
FL
01
68250
BCBS
FL
Enumeration date
10/17/2006
Last updated
01/06/2015
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