Provider Demographics
NPI:1649381823
Name:RUBIN, ALLAN LEWIS (DO)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:LEWIS
Last Name:RUBIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3816 HOLLYWOOD BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-963-3330
Mailing Address - Fax:954-963-3364
Practice Address - Street 1:3816 HOLLYWOOD BLVD
Practice Address - Street 2:STE 101
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-963-3330
Practice Address - Fax:954-963-3364
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS0001876207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology