| Entity Name: | HERBERT B. RUBIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Nov 1979 (45 years ago) |
| Document Number: | 646652 |
| FEI/EIN Number | 591966809 |
| Address: | 1460 MARION AVE, TALLAHASSEE, FL, 32303, US |
| Mail Address: | 1460 MARION AVE, TALLAHASSEE, FL, 32303, US |
| ZIP code: | 32303 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972873354 | 2012-01-03 | 2012-01-03 | 1460 MARION AVE, TALLAHASSEE, FL, 323035829, US | 1460 MARION AVE, TALLAHASSEE, FL, 323035829, US | |||||||||||||||||||
|
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| Phone | +1 850-222-1108 |
| Fax | 8502245522 |
Authorized person
| Name | HERBERT B RUBIN |
| Role | OWNER/PRESIDENT |
| Phone | 8502221108 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME30827 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUBIN, HERBERT B., M.D. | Agent | 1460 MARION AVE, TALLAHASSEE, FL, 32303 |
| Name | Role | Address |
|---|---|---|
| RUBIN, HERBERT B., M.D. | President | 1460 MARION AVE, TALLAHASSEE, FL, 32303 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
