Basic Information
| Provider Information | |||||||||
| NPI: | 1871735571 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RUBINS ORTHOPEDIC AND JOINT REPLACEMENT, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 37TH ST N | ||||||||
| Address2: | SUITE C | ||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337136010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273281001 | ||||||||
| FaxNumber: | 7273211525 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 37TH ST N | ||||||||
| Address2: | SUITE C | ||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337136010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273281001 | ||||||||
| FaxNumber: | 7273211525 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2009 | ||||||||
| LastUpdateDate: | 03/27/2009 | ||||||||
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| AuthorizedOfficialLastName: | RUBINS | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7273281001 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | ME60412 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.