Rubin, Keith Martin

Rubin, Keith Martin is an individual health care provider with primary practice located at 25097 Olympia Ave Ste 203 , Punta Gorda FL 33950-3914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rubin, Keith Martin can be contacted via phone (941) 347-8744.

Contact Information

Primary practice address
25097 Olympia Ave Ste 203 Punta Gorda FL 33950-3914
Fax: (941) 347-8756
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8591 Florida

Profile Details

NPI number 1043348154
LBN Legal business name Rubin, Keith Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043348154 NPPES
Florida Other AD305Z MEDICARE
Florida Other 37893 MEDICARE

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