Rodas, Luis G
Rodas, Luis G is an sole proprietor health care provider with primary practice located at 4001 N Ocean Dr , Lauderdale By The Sea FL 33308-5968. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rodas, Luis G can be contacted via phone (954) 771-4000.Contact Information
Primary practice address
4001 N Ocean Dr
Lauderdale By The Sea FL 33308-5968
Phone: (954) 771-4000
Fax: (954) 776-0670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9100841 | Florida |
Profile Details
| NPI number | 1609879360 |
|---|---|
| LBN Legal business name | Rodas, Luis G |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1609879360 | NPPES |
| Florida | Other | PA9100841 | PHYSICIAN ASSISTANT LIC. |
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