Individual
MARIAN PORUBSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5544
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-8927
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
ME131763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020465700
—
FL
Enumeration date
05/31/2007
Last updated
06/08/2021
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