Rodriguez, Wayne D
Rodriguez, Wayne D is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 2G , Melbourne FL 32901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rodriguez, Wayne D can be contacted via phone (321) 549-0528.Contact Information
Primary practice address
1223 Gateway Dr Ste 2G
Melbourne FL 32901
Phone: (321) 549-0528
Fax: (321) 722-3843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME35594 | Florida |
Profile Details
| NPI number | 1073598611 |
|---|---|
| LBN Legal business name | Rodriguez, Wayne D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Oct 31st, 2018 - 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 | 1073598611 | NPPES |
| Florida | MEDICAID | 067516400 | |
| Florida | Other | 390005081 |
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