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NPI Code Detail

MEDICARE: ALEXANDRA RUBERTI LCSW

MEDICARE:   ALEXANDRA  RUBERTI  LCSW
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
11041C0700XClinical Social WorkerSW20908FL

General Provider Information

NPI Number : 1477928117
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA RUBERTI LCSW
Provider Business Mailing Address
First Line : 9365 US HIGHWAY 19 N STE B
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33782-5400
Country : US
Telephone Number : 850-597-1126
Fax Number :
Provider Business Practice Location Address
First Line : 9365 US HIGHWAY 19 N STE B
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33782-5400
Country : US
Telephone Number : 850-597-1126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2015
Last Update Date : 02/20/2023

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Directions to “ ALEXANDRA RUBERTI LCSW” Practice Location

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