Rondon, Rafael Augusto

Rondon, Rafael Augusto is an individual health care provider with primary practice located at 5331 Primrose Lake Cir Ste 112 , Tampa FL 33647-3764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Rondon, Rafael Augusto can be contacted via phone (813) 517-4629.

Contact Information

Primary practice address
5331 Primrose Lake Cir Ste 112 Tampa FL 33647-3764
Phone: (813) 517-4629
Fax: (813) 200-1036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME100751 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101242340 Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME100751 Florida

Profile Details

NPI number 1568667715
LBN Legal business name Rondon, Rafael Augusto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jan 21st, 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 1568667715 NPPES
Other AK669Z MEDICARE
Other AK669Z MEDICARE

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