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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720181357 NPPES
Florida MEDICAID 256164600

Popular Providers