Active NPI
Rubiconmd Florida Physicians, PLLC
- General Practice Physician
- Tampa, FL
National Provider Identifier
1033701586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- RUBICONMD FLORIDA PHYSICIANS, PLLC
- Practice address
- 4207 S Dale Mabry Hwy Unit 4105
Tampa, FL 33611-1434 - Phone
- (860) 262-4489
- NPI assigned
- Feb 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Addo, MD
- Title
- Authorized Official
- Phone
- (860) 262-4489
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Dermatology Physician | 207N00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Nephrology Physician | 207RN0300X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4207 S Dale Mabry Hwy Unit 4105
Tampa, FL 33611-1434
Mailing address
4953 McGill Way
San Diego, CA 92130-2720
Phone (781) 879-6760
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1447592480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1033701586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4953 MCGILL WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302720",
"telephone_number": "781-879-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4207 S DALE MABRY HWY UNIT 4105",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111434",
"telephone_number": "860-262-4489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBICONMD FLORIDA PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A",
"authorized_official_last_name": "ADDO",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "860-262-4489",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.