Provider Demographics
NPI:1285605469
Name:RUBINO, MARK PATRICK (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:PATRICK
Last Name:RUBINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:848 1ST AVE N STE 340
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6063
Mailing Address - Country:US
Mailing Address - Phone:239-261-6876
Mailing Address - Fax:239-643-1059
Practice Address - Street 1:848 1ST AVE N STE 340
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6063
Practice Address - Country:US
Practice Address - Phone:239-261-6876
Practice Address - Fax:239-643-1059
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME756292084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE2203BMedicare ID - Type UnspecifiedMEDICARE NUMBER
FLG88272Medicare UPIN
FLK9230AMedicare PIN