Rodriguez, Lyda

Rodriguez, Lyda is an individual health care provider with primary practice located at 1401 Forum Way Suite 300, West Palm Beach FL 33401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Lyda can be contacted via phone (561) 242-0505.

Contact Information

Primary practice address
1401 Forum Way Suite 300 West Palm Beach FL 33401
Phone: (561) 242-0505
Fax: (561) 242-9548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME53286 Florida

Profile Details

NPI number 1629079322
LBN Legal business name Rodriguez, Lyda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Aug 7th, 2019 - about 7 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 1629079322 NPPES
Florida MEDICAID 044296800

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