MEDICARE: DEBRA A DUBE AND ASSOCIATES, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME007466	FL

General Provider Information

NPI Number	:	1134227028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBRA A DUBE AND ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	901 W WARREN AVE
Second Line	:	STE 1001
City	:	LONGWOOD
State	:	FL
Zip	:	32750-4003
Country	:	US
Telephone Number	:	407-834-0860
Fax Number	:	407-834-4696

Provider Business Practice Location Address
First Line	:	1001 W WARREN AVE
Second Line	:	STE 1001
City	:	LONGWOOD
State	:	FL
Zip	:	32750-4003
Country	:	US
Telephone Number	:	407-834-0860
Fax Number	:	407-834-4696

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEBRA A DUBE
Credential	:	M.D.
Telephone Number	:	407-834-0860

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	10/11/2007

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