Rhodes, Jan Richard

Rhodes, Jan Richard is an individual health care provider with primary practice located at 1400 Dunlawton Ave Ste 1A, Port Orange FL 32127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rhodes, Jan Richard can be contacted via phone (386) 760-5008.

Contact Information

Primary practice address
1400 Dunlawton Ave Ste 1A Port Orange FL 32127
Phone: (386) 760-5008
Fax: (386) 760-0084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0044566 Florida

Profile Details

NPI number 1750374120
LBN Legal business name Rhodes, Jan Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Oct 23rd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750374120 NPPES
Florida MEDICAID 106797500

Popular Providers