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
Fax: (954) 752-0509
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629181326 NPPES
Florida Other ME-58463 LIC# ME-58463
Florida MEDICAID 265743100 LIC# ME-58463

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