Provider Demographics
NPI:1770855843
Name:DR. CUBAS WEIGHT LOSS CENTER AND SPA, P.A.
Entity Type:Organization
Organization Name:DR. CUBAS WEIGHT LOSS CENTER AND SPA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUBAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-434-1010
Mailing Address - Street 1:6870 DYKES RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-4663
Mailing Address - Country:US
Mailing Address - Phone:954-434-1010
Mailing Address - Fax:954-434-1730
Practice Address - Street 1:192 S FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1768
Practice Address - Country:US
Practice Address - Phone:954-434-1010
Practice Address - Fax:954-434-1730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME56199133N00000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty