Rettig, Roderic
Rettig, Roderic is an sole proprietor health care provider with primary practice located at 2500 N Federal Hwy Ste 301, Ft Lauderdale FL 33305-1618. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rettig, Roderic can be contacted via phone (954) 533-1520.Contact Information
Primary practice address
2500 N Federal Hwy Ste 301
Ft Lauderdale FL 33305-1618
Phone: (954) 533-1520
Fax: (954) 368-5195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9270207 | Florida |
Profile Details
| NPI number | 1609265578 |
|---|---|
| LBN Legal business name | Rettig, Roderic |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2015 |
| Last updated | Jun 27th, 2017 - about 9 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 | 1609265578 | NPPES |
| Florida | MEDICAID | 015607300 |
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