Fernandez, Rodolfo S

Fernandez, Rodolfo S is an individual health care provider with primary practice located at 1255 State Road 60 E Ste 500 , Lake Wales FL 33853-4302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fernandez, Rodolfo S can be contacted via phone (863) 676-8237.

Contact Information

Primary practice address
1255 State Road 60 E Ste 500 Lake Wales FL 33853-4302
Phone: (863) 676-8237
Fax: (863) 676-8207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME74306 Florida

Profile Details

NPI number 1649230061
LBN Legal business name Fernandez, Rodolfo S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Sep 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649230061 NPPES
Florida MEDICAID 004170900

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