Provider Demographics
NPI:1205000866
Name:DUBIN, DENNIS C (AUD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:C
Last Name:DUBIN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 S FLAMINGO RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1722
Mailing Address - Country:US
Mailing Address - Phone:954-437-1766
Mailing Address - Fax:954-437-6955
Practice Address - Street 1:306 S FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1722
Practice Address - Country:US
Practice Address - Phone:954-437-1766
Practice Address - Fax:954-437-6955
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY327237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS0958ZOtherMEDICARE