MEDICARE: DR. MARK A. RUBENSTEIN M.D.

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME0067700	FL

General Provider Information

NPI Number	:	1598743437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK A. RUBENSTEIN M.D.

Provider Business Mailing Address
First Line	:	4495 MILITARY TRAIL
Second Line	:	SUITE 209
City	:	JUPITER
State	:	FL
Zip	:	33458-4818
Country	:	US
Telephone Number	:	561-296-9991
Fax Number	:	561-296-9992

Provider Business Practice Location Address
First Line	:	4495 MILITARY TRAIL
Second Line	:	SUITE 209
City	:	JUPITER
State	:	FL
Zip	:	33458-4818
Country	:	US
Telephone Number	:	561-296-9991
Fax Number	:	561-296-9992

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

Provider Enumeration Date	:	01/01/2006
Last Update Date	:	09/01/2015

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