Healthcare Provider Details

I. General information

NPI: 1083740484
Provider Name (Legal Business Name): DAVID M RUBE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 35TH AVE STE 560
HOLLYWOOD FL
33021
US

IV. Provider business mailing address

2900 CORPROATE WAY DOOR D
MIRAMAR FL
33025-3925
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-1370
  • Fax: 954-265-1375
Mailing address:
  • Phone: 954-276-5685
  • Fax: 954-985-7074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number75403
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: