Rodriguez, Rafael S

Rodriguez, Rafael S is an sole proprietor health care provider with primary practice located at 4102 N Macdill Ave Ste A , Tampa FL 33607-6717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Rodriguez, Rafael S can be contacted via phone (813) 876-4900.

Contact Information

Primary practice address
4102 N Macdill Ave Ste A Tampa FL 33607-6717
Fax: (813) 876-4997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME81064 Florida

Profile Details

NPI number 1720059868
LBN Legal business name Rodriguez, Rafael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Oct 29th, 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 1720059868 NPPES
Florida MEDICAID 270329700

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