Provider Demographics
NPI:1255445524
Name:RUBINOV, JANE ELOISE (RRT)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:ELOISE
Last Name:RUBINOV
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11873 NW 28TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3313
Mailing Address - Country:US
Mailing Address - Phone:954-255-9189
Mailing Address - Fax:
Practice Address - Street 1:11873 NW 28TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3313
Practice Address - Country:US
Practice Address - Phone:954-255-9189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 1495227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered