Provider Demographics
NPI:1730280942
Name:RUBIN, JEFFREY IRWIN (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:IRWIN
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N FLAGLER DR
Mailing Address - Street 2:SUITE 4900
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3404
Mailing Address - Country:US
Mailing Address - Phone:561-802-9966
Mailing Address - Fax:561-802-9951
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:SUITE 4900
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-802-9966
Practice Address - Fax:561-802-9951
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1003922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000798200Medicaid