Rodas, Luis G

Rodas, Luis G is an sole proprietor health care provider with primary practice located at 4001 N Ocean Dr , Lauderdale By The Sea FL 33308-5968. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rodas, Luis G can be contacted via phone (954) 771-4000.

Contact Information

Primary practice address
4001 N Ocean Dr Lauderdale By The Sea FL 33308-5968
Phone: (954) 771-4000
Fax: (954) 776-0670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9100841 Florida

Profile Details

NPI number 1609879360
LBN Legal business name Rodas, Luis G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1609879360 NPPES
Florida Other PA9100841 PHYSICIAN ASSISTANT LIC.

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