Provider Demographics
NPI:1194025023
Name:TOBE L. RUBIN, M.D., P.A.
Entity Type:Organization
Organization Name:TOBE L. RUBIN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOBE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-979-3222
Mailing Address - Street 1:1307 LYONS RD
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3927
Mailing Address - Country:US
Mailing Address - Phone:954-979-3222
Mailing Address - Fax:954-979-0889
Practice Address - Street 1:1307 LYONS RD
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33063-3927
Practice Address - Country:US
Practice Address - Phone:954-979-3222
Practice Address - Fax:954-979-0889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77916207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty