Rodriguez, Raimundo

Rodriguez, Raimundo is an individual health care provider with primary practice located at 206 Park Place Blvd. , Kissimmee FL 34741-2344. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Rodriguez, Raimundo can be contacted via phone (407) 846-0023.

Contact Information

Primary practice address
206 Park Place Blvd. Kissimmee FL 34741-2344
Phone: (407) 846-0023
Fax: (407) 483-1064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1417267147
LBN Legal business name Rodriguez, Raimundo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Oct 15th, 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 1417267147 NPPES
Florida MEDICAID PENDING

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