Provider Demographics
NPI:1417958117
Name:FELIPE L CUBAS MD & ASSOCIATES PA
Entity Type:Organization
Organization Name:FELIPE L CUBAS MD & ASSOCIATES PA
Other - Org Name:FELIPE L CUBAS MD & ASSOCIATES PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUBAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-990-7838
Mailing Address - Street 1:6870 DYKES RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-4663
Mailing Address - Country:US
Mailing Address - Phone:954-990-7838
Mailing Address - Fax:954-909-5497
Practice Address - Street 1:6870 DYKES RD
Practice Address - Street 2:
Practice Address - City:SOUTHWEST RANCHES
Practice Address - State:FL
Practice Address - Zip Code:33331-4663
Practice Address - Country:US
Practice Address - Phone:954-990-7838
Practice Address - Fax:954-909-5497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 56199207P00000X
261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E58877Medicare UPIN
FL09836DMedicare ID - Type Unspecified