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GOTARDO A. RODRIGUES MD LLC NPI 1912917709


NPI Information

NPI: 1912917709
Provider Name: GOTARDO A. RODRIGUES MD LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
78 SW 13 AVE
SUITE 200
MIAMI, FL
ZIP 33135
Phone: (305) 642-6966
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GOTARDO A. RODRIGUES MD LLC is a specialist in Miami, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GOTARDO A. RODRIGUES MD LLC NPI is 1912917709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

78 SW 13 AVE
SUITE 200
MIAMI, FL
ZIP 33135-483
Phone: (305) 642-6966
Fax: (305) 642-6965

The provider's authorized official is Gotardo Rodrigues .
The authorized official title is Owner and has the following contact phone number (305) 642-6966.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 5/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME69345FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERFLORIDATAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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