Rodriguez, Virginio
Rodriguez, Virginio is an sole proprietor health care provider with primary practice located at 345 Clyde Morris Blvd Suite 360, Ormond Beach FL 32174-3114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rodriguez, Virginio can be contacted via phone (386) 677-8880.Contact Information
Primary practice address
345 Clyde Morris Blvd Suite 360
Ormond Beach FL 32174-3114
Phone: (386) 677-8880
Fax: (386) 677-9880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME566488 | Florida |
Profile Details
| NPI number | 1720181357 |
|---|---|
| LBN Legal business name | Rodriguez, Virginio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Dec 4th, 2017 - about 7 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 | 1720181357 | NPPES |
| Florida | MEDICAID | 256164600 |
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