Provider Demographics
NPI:1598743437
Name:RUBENSTEIN, MARK A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:RUBENSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4495 MILITARY TRAIL
Mailing Address - Street 2:SUITE 209
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4818
Mailing Address - Country:US
Mailing Address - Phone:561-296-9991
Mailing Address - Fax:561-296-9992
Practice Address - Street 1:4495 MILITARY TRAIL
Practice Address - Street 2:SUITE 209
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4818
Practice Address - Country:US
Practice Address - Phone:561-296-9991
Practice Address - Fax:561-296-9992
Is Sole Proprietor?:No
Enumeration Date:2006-01-01
Last Update Date:2015-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME00677002081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF28484Medicare UPIN