Rodriguez Fundora, William

Rodriguez Fundora, William is an individual health care provider with primary practice located at 1100 Sw 57 Ave #101 , Miami FL 33144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodriguez Fundora, William can be contacted via phone (305) 644-1550.

Contact Information

Primary practice address
1100 Sw 57 Ave #101 Miami FL 33144
Phone: (305) 644-1550
Fax: (305) 269-1068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0007275 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS-0007275 Florida

Profile Details

NPI number 1821059312
LBN Legal business name Rodriguez Fundora, William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Dec 24th, 2008 - about 16 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 1821059312 NPPES
Florida MEDICAID 260231800

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