| Doctor Name: | DR. MARK S. RUBIN |
| NPI Number: | 1033192570 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME66879 |
| Business Practice Address: | 9776 Bonita Beach Rd Se #201a Bonita Springs, FL - 341354773 |
| Business Phone Number: | 2399473092 |
| Business Fax Number: | 2399471077 |
| Mailing Address: | 4371 Veronica S Shoemaker Blvd, FORT MYERS |
| State: | FL |
| Postal Code: | 339162216 |
| Phone Number: | 2392748200 |
| Fax Number: | 2392783350 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 06/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | ME66879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |