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NPI Code Detail

MEDICARE: MARK P RUBINO MD LLC

MEDICARE: MARK P RUBINO MD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME75629FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DE5164OTHERFLMEDICARE RAILROAD GROUP
2E2203TOTHERFLINDIVIUAL MEDICARE PIN
3P00297710OTHERFLMEDICARE RAILROAD PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
410D2014426OTHERFLCLIA LICENSE
549182OTHERFLBCBS OF FL

General Provider Information

NPI Number : 1033391768
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK P RUBINO MD LLC
Provider Business Mailing Address
First Line : 848 1ST AVE N STE 340
Second Line :
City : NAPLES
State : FL
Zip : 34102-6063
Country : US
Telephone Number : 239-261-6876
Fax Number : 239-643-4969
Provider Business Practice Location Address
First Line : 1441 RIDGE ST
Second Line :
City : NAPLES
State : FL
Zip : 34103-4211
Country : US
Telephone Number : 239-261-6876
Fax Number : 239-643-4969
Authorized Official
Title or Position : PRESIDENT/ OWNER
Name : MARK P RUBINO
Credential : MD
Telephone Number : 239-261-6876
Provider Enumeration Date : 12/05/2007
Last Update Date : 01/02/2026

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Directions to “MARK P RUBINO MD LLC ” Practice Location

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