Provider Demographics
NPI:1215116421
Name:RUBIN, ALANNA (LM)
Entity type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:RUBIN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3751 SW CANOE CREEK TER
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-1362
Mailing Address - Country:US
Mailing Address - Phone:772-215-7331
Mailing Address - Fax:
Practice Address - Street 1:3751 SW CANOE CREEK TER
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-1362
Practice Address - Country:US
Practice Address - Phone:772-215-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW 151176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife