Healthcare Provider Details

I. General information

NPI: 1285605469
Provider Name (Legal Business Name): MARK PATRICK RUBINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 RIDGE ST
NAPLES FL
34103-4211
US

IV. Provider business mailing address

1441 RIDGE ST
NAPLES FL
34103-4211
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-6876
  • Fax: 239-643-4969
Mailing address:
  • Phone: 239-261-6876
  • Fax: 239-643-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME75629
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: