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NPI Code Detail

MEDICARE: DR. ASTRID M DUBLIS M.D.

MEDICARE:  DR. ASTRID M DUBLIS  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
12084P0800XPsychiatry PhysicianME19437FL

General Provider Information

NPI Number : 1720506991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASTRID M DUBLIS M.D.
Provider Business Mailing Address
First Line : 131 BAY COLONY DR
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-2024
Country : US
Telephone Number : 954-491-8632
Fax Number :
Provider Business Practice Location Address
First Line : 131 BAY COLONY DR
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-2024
Country : US
Telephone Number : 954-491-8632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2017
Last Update Date : 07/21/2022

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Directions to “ DR. ASTRID M DUBLIS M.D.” Practice Location

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