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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649230061 | NPPES |
| Florida | MEDICAID | 004170900 |
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