<Unavail>

LBN: Virginio Rodriguez Iii
<Unavail> is an health care organization with primary practice located at 345 Clyde Morris Blvd Ste 360 , Ormond Beach FL 32174-3114. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Virginio Rodriguez Iii can be contacted via phone (386) 873-4740, or through Lewis, Staci G via phone (386) 873-4740.

Contact Information

Primary practice address
345 Clyde Morris Blvd Ste 360 Ormond Beach FL 32174-3114
Phone: (386) 873-4740
Fax: (386) 873-4742
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Staci G
Phone: (386) 873-4740

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME56648 Florida

Profile Details

NPI number 1265869705
LBN Legal business name Virginio Rodriguez Iii
DBA Doing business as <Unavail>
Authorized official Lewis, Staci G
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2013
Last updated Sep 30th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265869705 NPPES
Florida MEDICAID 256164600
Florida MEDICAID 256164601

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