Healthcare Provider Details

I. General information

NPI: 1902744519
Provider Name (Legal Business Name): RUBEN DABOIN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 WOODEN PINE DR STE 150
ORLANDO FL
32829-7450
US

IV. Provider business mailing address

6050 WOODEN PINE DR STE 150
ORLANDO FL
32829-7450
US

V. Phone/Fax

Practice location:
  • Phone: 407-593-0600
  • Fax: 407-979-4052
Mailing address:
  • Phone: 407-593-0600
  • Fax: 407-979-4052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: RUBEN GUSTAVO DABOIN AREVALO
Title or Position: MNGR OWNER
Credential: DDS
Phone: 407-733-6403