Rodriguez, Dagoberto Jesus
Rodriguez, Dagoberto Jesus is an sole proprietor health care provider with primary practice located at 2825 N State Road 7 Suite 305, Margate FL 33063-5737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rodriguez, Dagoberto Jesus can be contacted via phone (954) 752-8799.Contact Information
Primary practice address
2825 N State Road 7 Suite 305
Margate FL 33063-5737
Phone: (954) 752-8799
Fax: (954) 752-0509
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME058463 | Florida |
Profile Details
NPI number | 1629181326 |
---|---|
LBN Legal business name | Rodriguez, Dagoberto Jesus |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 16th, 2006 |
Last updated | Jun 15th, 2012 - about 13 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 | 1629181326 | NPPES |
Florida | Other | ME-58463 | LIC# ME-58463 |
Florida | MEDICAID | 265743100 | LIC# ME-58463 |
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