Rubin Family Medicine

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OS8591 Issued in FL

Legal business name

RUBIN FAMILY MEDICINE

Practice address

25097 Olympia Ave
203
Punta Gorda, FL 33950-3912

Phone

(941) 347-8744

Fax

(941) 347-8756

NPI assigned

Dec 18, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith Martin Rubin, DONPI 1043348154

Title

Owner

Phone

(941) 347-8744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Martin Rubin, D.O.

  • Family Medicine Physician
  • Punta Gorda, FL
  • NPI 1043348154
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1609310176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE",
            "address_2": "203",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503912",
            "telephone_number": "941-347-8744",
            "fax_number": "941-347-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE",
            "address_2": "203",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503912",
            "telephone_number": "941-347-8744",
            "fax_number": "941-347-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBIN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-347-8744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS8591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Helena Rose, PSYD
• Giselle Rosel, MD
• Marcia Rosman, LMHC
• Lorraine Ross
• Tina Rowe
• Rubin Optical, Inc.
• Keith Martin Rubin, D.O.
• David Ruggieri, M.D.
• Lynn Ruggieri
• Ashleigh Runkle, LMT

• Adult Medicine Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.