Healthcare Provider Details

I. General information

NPI: 1285840876
Provider Name (Legal Business Name): MS. KAREN SUSAN RUBINSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN SUSAN FINE L.M.F.T.

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9260 SW 72ND ST SUITE 203
MIAMI FL
33173-3275
US

IV. Provider business mailing address

19195 MYSTIC POINTE DR 1208
AVENTURA FL
33180-4502
US

V. Phone/Fax

Practice location:
  • Phone: 305-331-9656
  • Fax: 305-466-1356
Mailing address:
  • Phone: 305-962-9198
  • Fax: 305-466-1356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberMT0000677
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: