Individual
DR. DAVID RUBBEN ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5270 BABCOCK ST NE STE 1, PALM BAY, FL 32905-4616
(321) 241-6800
(321) 241-6890
Mailing address
75 W RED BANK AVE, WOODBURY, NJ 08096-1694
(856) 853-2056
(856) 686-5218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME145925
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
07/24/2024
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