Rodriguez, Gerardo J

Rodriguez, Gerardo J is an sole proprietor health care provider with primary practice located at 3801 N Highway 19A Suite 400, Mount Dora FL 32757-2228. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rodriguez, Gerardo J can be contacted via phone (352) 383-1245.

Contact Information

Primary practice address
3801 N Highway 19A Suite 400 Mount Dora FL 32757-2228
Phone: (352) 383-1245
Fax: (352) 383-4401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME00064748 Florida

Profile Details

NPI number 1346292620
LBN Legal business name Rodriguez, Gerardo J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 25th, 2010 - about 16 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 1346292620 NPPES
Florida MEDICAID 3775810000
Florida MEDICAID 377581001

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