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NPI Code Detail

MEDICARE: RUBEN D ADRIANO M.D.

MEDICARE:   RUBEN D ADRIANO  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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianME55476FL

General Provider Information

NPI Number : 1801890462
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBEN D ADRIANO M.D.
Provider Business Mailing Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line : ATTN: MANAGED CARE DEPT.
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4710 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2165
Country : US
Telephone Number : 863-284-5000
Fax Number : 863-284-6824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 07/21/2022

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Directions to “ RUBEN D ADRIANO M.D.” Practice Location

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