Provider Demographics
NPI:1609150887
Name:XUBEX
Entity Type:Organization
Organization Name:XUBEX
Other - Org Name:XUBEX PHARMACEUTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MEHRDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIRI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:407-478-2663
Mailing Address - Street 1:3796 HOWELL BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1740
Mailing Address - Country:US
Mailing Address - Phone:407-478-2663
Mailing Address - Fax:
Practice Address - Street 1:3796 HOWELL BRANCH RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1740
Practice Address - Country:US
Practice Address - Phone:407-478-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH13298305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service