MEDICARE: JONATHAN SCOTT RUBIN M.D.

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
1	208000000X	Pediatrics Physician	ME59741	FL
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	ME59741	FL

General Provider Information

NPI Number	:	1548259070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN SCOTT RUBIN M.D.

Provider Business Mailing Address
First Line	:	6535 NW 95TH LN
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33076-2313
Country	:	US
Telephone Number	:	954-979-3292
Fax Number	:	954-970-4308

Provider Business Practice Location Address
First Line	:	2825 N STATE ROAD 7
Second Line	:	SUITE 205
City	:	MARGATE
State	:	FL
Zip	:	33063-5737
Country	:	US
Telephone Number	:	954-979-3292
Fax Number	:	954-970-4308

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	09/11/2025

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