Provider Demographics
NPI:1063769370
Name:RUBINSTEIN, STUART LANCE (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:LANCE
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6014 NW 30TH WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3304
Mailing Address - Country:US
Mailing Address - Phone:561-702-2200
Mailing Address - Fax:561-995-0344
Practice Address - Street 1:6014 NW 30TH WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-3304
Practice Address - Country:US
Practice Address - Phone:561-702-2200
Practice Address - Fax:561-995-0344
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0053225207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0053255OtherLICENSE