Provider Demographics
NPI:1720400179
Name:RUBINSTEIN, JOSHUA SHIMON (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:SHIMON
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20341 OLD CUTLER RD
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1831
Mailing Address - Country:US
Mailing Address - Phone:305-336-1803
Mailing Address - Fax:786-323-6759
Practice Address - Street 1:20341 OLD CUTLER RD
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1831
Practice Address - Country:US
Practice Address - Phone:305-336-1803
Practice Address - Fax:786-323-6759
Is Sole Proprietor?:No
Enumeration Date:2014-01-19
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor