Rodan, Bruce Alan

Rodan, Bruce Alan is an sole proprietor health care provider with primary practice located at 3259 Updike Ave , Tallahassee FL 32311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rodan, Bruce Alan can be contacted via phone (850) 765-0233.

Contact Information

Primary practice address
3259 Updike Ave Tallahassee FL 32311
Phone: (850) 765-0233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME037878 Florida

Profile Details

NPI number 1073575858
LBN Legal business name Rodan, Bruce Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Mar 14th, 2016 - about 8 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 1073575858 NPPES
Florida MEDICAID 268846800

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