Most Relevant Information
Provider Data
| NPI Number: | 1003445602 |
| Provider Name: | ALEKSEY PETROVICH SHUBIN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | ME158126 |
Most Important Dates
| Enumeration Date: | 04/06/2020 |
| Last Updated: | 10/17/2022 |
Provider Practice Location
2488 N UNIVERSITY DR
PEMBROKE PINES
FL
330243624
Practice Location Phone/Fax
| Phone: | 9549839191 |
| Fax: |
Provider Mailing Location
11750 BIRD RD
MIAMI
FL
331753530
Provider Mailing Phone/Fax
| Phone: | 3052225202 |
| Fax: | 3054852962 |