Lavandera Rodriguez, Ivan
Lavandera Rodriguez, Ivan is an sole proprietor health care provider with primary practice located at 1995 E Oakland Park Blvd Ste 310 , Ft Lauderdale FL 33306-1138. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lavandera Rodriguez, Ivan can be contacted via phone (954) 791-6146.Contact Information
Primary practice address
1995 E Oakland Park Blvd Ste 310
Ft Lauderdale FL 33306-1138
Phone: (954) 791-6146
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 15-528 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 11012299 | Florida |
Profile Details
NPI number | 1417311622 |
---|---|
LBN Legal business name | Lavandera Rodriguez, Ivan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 13th, 2016 |
Last updated | Apr 5th, 2021 - about 3 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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