Rodriguez, Joanna M

Rodriguez, Joanna M is an individual health care provider with primary practice located at 1150 N 35Th Ave, Suite 465 , Hollywood FL 33021-5467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Rodriguez, Joanna M can be contacted via phone (954) 986-9008.

Contact Information

Primary practice address
1150 N 35Th Ave, Suite 465 Hollywood FL 33021-5467
Fax: (954) 986-6646
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME87467 Florida

Profile Details

NPI number 1548298649
LBN Legal business name Rodriguez, Joanna M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 11th, 2021 - about 3 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 1548298649 NPPES
Florida MEDICAID 270863900

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