Roden, Laura

Roden, Laura is an individual health care provider with primary practice located at 2979 Pga Blvd Suite 200, Palm Beach Gardens FL 33410-2911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Roden, Laura can be contacted via phone (561) 275-7604.

Contact Information

Primary practice address
2979 Pga Blvd Suite 200 Palm Beach Gardens FL 33410-2911
Phone: (561) 275-7604
Fax: (561) 802-5385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9247057 Florida

Profile Details

NPI number 1346592805
LBN Legal business name Roden, Laura
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2012
Last updated Sep 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346592805 NPPES
Florida MEDICAID 006792300

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