Healthcare Provider Details

I. General information

NPI: 1316841976
Provider Name (Legal Business Name): ALIAKSANDRA RUBINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 N DIXIE HWY
OAKLAND PARK FL
33334-3447
US

IV. Provider business mailing address

5301 N DIXIE HWY STE 100
OAKLAND PARK FL
33334-3447
US

V. Phone/Fax

Practice location:
  • Phone: 347-444-0415
  • Fax:
Mailing address:
  • Phone: 347-444-0415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: