Basic Information
| Provider Information | |||||||||
| NPI: | 1205000866 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUBIN | ||||||||
| FirstName: | DENNIS | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 306 S FLAMINGO RD | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330271722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544371766 | ||||||||
| FaxNumber: | 9544376955 | ||||||||
| Practice Location | |||||||||
| Address1: | 306 S FLAMINGO RD | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330271722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544371766 | ||||||||
| FaxNumber: | 9544376955 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2008 | ||||||||
| LastUpdateDate: | 04/15/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | AY327 | FL | Y | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
ID Information
| ID | Type | State | Issuer | Description | S0958Z | 01 | FL | MEDICARE | OTHER |