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NPI Code Detail

MEDICARE: DAVID S CUBITO PSYD PLC

MEDICARE: DAVID S CUBITO PSYD PLC
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
1103TC0700XClinical PsychologistPY5620FL

General Provider Information

NPI Number : 1437316239
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID S CUBITO PSYD PLC
Provider Business Mailing Address
First Line : 1114 36TH AVE NE
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-1616
Country : US
Telephone Number : 727-527-1969
Fax Number :
Provider Business Practice Location Address
First Line : 275 4TH ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33701-3205
Country : US
Telephone Number : 727-527-1969
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DAVID S CUBITO
Credential : PSYD
Telephone Number : 727-527-1969
Provider Enumeration Date : 05/20/2008
Last Update Date : 02/16/2022

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