MEDICARE: EDWARD LUBIN MD

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	208VP0000X	Pain Medicine Physician	ME83445	FL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME83445	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	720000103	OTHER	FL	MEDICARE ID/RRM PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508834706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD LUBIN MD

Provider Business Mailing Address
First Line	:	2333 W HILLSBOROUGH AVE
Second Line	:	STE 100
City	:	TAMPA
State	:	FL
Zip	:	33603-1052
Country	:	US
Telephone Number	:	813-872-4492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2333 W HILLSBOROUGH AVE STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1052
Country	:	US
Telephone Number	:	727-547-4700
Fax Number	:	727-394-8661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	10/06/2022

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Directions to “ EDWARD LUBIN MD” Practice Location

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