Provider Demographics
NPI:1154433944
Name:RUBIN, FELINDA T (ARNP)
Entity type:Individual
Prefix:
First Name:FELINDA
Middle Name:T
Last Name:RUBIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:FELINDA
Other - Middle Name:DIANE
Other - Last Name:THOMAS-RUBIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:5820 RIVERSIDE LN
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-2506
Mailing Address - Country:US
Mailing Address - Phone:239-489-1113
Mailing Address - Fax:
Practice Address - Street 1:12640 WORLD PLAZA LN BLDG 71
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3987
Practice Address - Country:US
Practice Address - Phone:239-275-8898
Practice Address - Fax:239-275-9933
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP899672363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily