Lavandera Rodriguez, Ivan

Lavandera Rodriguez, Ivan is an sole proprietor health care provider with primary practice located at 1995 E Oakland Park Blvd Ste 310 , Ft Lauderdale FL 33306-1138. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lavandera Rodriguez, Ivan can be contacted via phone (954) 791-6146.

Contact Information

Primary practice address
1995 E Oakland Park Blvd Ste 310 Ft Lauderdale FL 33306-1138
Phone: (954) 791-6146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15-528 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11012299 Florida

Profile Details

NPI number 1417311622
LBN Legal business name Lavandera Rodriguez, Ivan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2016
Last updated Apr 5th, 2021 - about 5 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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