Rodriguez, Jorge A

Rodriguez, Jorge A is an individual health care provider with primary practice located at 4600 4Th Street North , St Petersburg FL 33703-3802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Rodriguez, Jorge A can be contacted via phone (727) 527-5272.

Contact Information

Primary practice address
4600 4Th Street North St Petersburg FL 33703-3802
Phone: (727) 527-5272
Fax: (727) 522-7412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME64476 Florida
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME0064476 Florida

Profile Details

NPI number 1922072461
LBN Legal business name Rodriguez, Jorge A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Oct 19th, 2011 - about 15 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 1922072461 NPPES
Florida MEDICAID 376833300

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