Provider Demographics
NPI:1366572182
Name:THOMPSON, RUBIN (DC)
Entity type:Individual
Prefix:DR
First Name:RUBIN
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 NW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-2304
Mailing Address - Country:US
Mailing Address - Phone:305-758-2622
Mailing Address - Fax:305-758-3833
Practice Address - Street 1:4800 N.W. 7 AVE.
Practice Address - Street 2:NORTH OFFICE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127
Practice Address - Country:US
Practice Address - Phone:305-758-2622
Practice Address - Fax:305-758-3833
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor