| Rubin Family Medicine | |
|
25097 Olympia Ave 203 Punta Gorda FL 33950-3912 | |
| (941) 347-8744 | |
| (941) 347-8756 |
| Full Name | Rubin Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 25097 Olympia Ave, Punta Gorda, Florida |
| Authorized Official Name and Position | Keith Martin Rubin (OWNER) |
| Authorized Official Contact | 9413478744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubin Family Medicine 25097 Olympia Ave 203 Punta Gorda FL 33950-3912 Ph: (941) 347-8744 | Rubin Family Medicine 25097 Olympia Ave 203 Punta Gorda FL 33950-3912 Ph: (941) 347-8744 |
| NPI Number | 1609310176 |
|---|---|
| Provider Enumeration Date | 12/18/2016 |
| Last Update Date | 10/17/2017 |
| Medicare PECOS PAC ID | 3274818141 |
|---|---|
| Medicare Enrollment ID | O20170316001984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609310176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | OS8591 (Florida) | Primary |
| Provider Name | Keith M Rubin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043348154 PECOS PAC ID: 7214037803 Enrollment ID: I20070711000822 |
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