Healthcare Provider Details

I. General information

NPI: 1851470520
Provider Name (Legal Business Name): RITA DUBEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 ASHLEY OAKS CIR STE 102
WESLEY CHAPEL FL
33543-7029
US

IV. Provider business mailing address

6507 STONINGTON DR S
TAMPA FL
33647-1115
US

V. Phone/Fax

Practice location:
  • Phone: 813-973-2500
  • Fax: 813-973-4438
Mailing address:
  • Phone: 813-979-4343
  • Fax: 813-979-4343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 77803
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: