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NPI Code Detail

MEDICARE: DR. MICHAEL EMMANUEL RUBINO DPT, MTC

MEDICARE:  DR. MICHAEL EMMANUEL RUBINO  DPT, MTC
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
1225100000XPhysical TherapistPT 22469FL

General Provider Information

NPI Number : 1508824269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL EMMANUEL RUBINO DPT, MTC
Provider Business Mailing Address
First Line : 1277 RAINBOW CT
Second Line :
City : NAPLES
State : FL
Zip : 34110-1512
Country : US
Telephone Number : 786-269-3454
Fax Number :
Provider Business Practice Location Address
First Line : 25241 ELEMENTARY WAY
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-7883
Country : US
Telephone Number : 786-269-3454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 03/25/2014

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Directions to “ DR. MICHAEL EMMANUEL RUBINO DPT, MTC” Practice Location

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