Rubin, Mark Stephen

Rubin, Mark Stephen is an individual health care provider with primary practice located at 1545 Hand Avenue Suite B3, Ormond Beach FL 32174-1140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rubin, Mark Stephen can be contacted via phone (386) 673-3939.

Contact Information

Primary practice address
1545 Hand Avenue Suite B3 Ormond Beach FL 32174-1140
Phone: (386) 673-3939
Fax: (386) 677-5374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0047655 Florida

Profile Details

NPI number 1114943131
LBN Legal business name Rubin, Mark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 13th, 2009 - about 16 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 1114943131 NPPES
Florida MEDICAID 052266000

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