Provider Demographics
NPI:1245209352
Name:DUBBIN, CLIFFORD B (MD)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:B
Last Name:DUBBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7251 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792
Mailing Address - Country:US
Mailing Address - Phone:407-677-0099
Mailing Address - Fax:407-677-5505
Practice Address - Street 1:1781 PARK CENTER DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835
Practice Address - Country:US
Practice Address - Phone:407-351-0675
Practice Address - Fax:407-352-1867
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME35376207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067409500Medicaid
FL067409500Medicaid
FL47542Medicare ID - Type Unspecified