| Jeffrey E Rubin, | |
|
5995 S Pointe Blvd Ste 109, Fort Myers, FL 33919-3273 | |
| (239) 370-3343 | |
| (239) 320-3288 |
| Full Name | Jeffrey E Rubin |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5995 S Pointe Blvd Ste 109, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073520789 | NPI | - | NPPES |
| 070759700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN12852 (Florida) | Primary |
| 122300000X | Dentist | DN12852 (Florida) | Secondary |
| Entity Name | Picasso Aesthetic And Cosmetic Dental Spa Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205182276 PECOS PAC ID: 5294034682 Enrollment ID: O20160506001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey E Rubin, 20843 Thistle Leaf Ln, Estero, FL 33928-4082 Ph: (239) 401-2799 | Jeffrey E Rubin, 5995 S Pointe Blvd Ste 109, Fort Myers, FL 33919-3273 Ph: (239) 370-3343 |
Reetane Singh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 Phone: 239-337-1008 | |
Dr. Paul Samuel Decarlo Jr., D.D.S., P.A. Dentist Medicare: Medicare Enrolled Practice Location: 47 Barkley Cir, Fort Myers, FL 33907 Phone: 239-936-5252 | |
Dr. Shelly D King, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6900 Daniels Pkwy Ste 30, Fort Myers, FL 33912 Phone: 239-337-5464 Fax: 239-561-2742 | |
Tyler Joseph Griffith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6871 Daniels Pkwy Ste 100, Fort Myers, FL 33912 Phone: 239-288-0537 | |
Dr. Tim M Verwest, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9371 Cypress Lake Dr, Suite7, Fort Myers, FL 33919 Phone: 239-482-2722 Fax: 239-482-7877 | |
Gregory G Hill, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 45 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-0423 Fax: 239-939-4912 | |
Dr. Edward V Chiarello, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14651 Palm Beach Blvd, Suite 101, Fort Myers, FL 33905 Phone: 239-694-9993 Fax: 239-694-9995 |