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MR. LUIS G RODAS PA

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1609879360

Individual Registrant:
MR. LUIS G RODAS PA
Gender: M
Sole Proprietor

Location and contact information for practice:
4001 N OCEAN DR  LAUDERDALE BY THE SEA, FL 33308-5968 US
Tel: 954-771-4000  Fax: 954-776-0670

Contact information for business:
9 NE 20TH AVE APT # 301 DEERFIELD BEACH, FL 33441-6114 US
Tel: 954-429-1303  Fax: 954-337-0157

Registration Information:
NPI: 1609879360
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
FLPA9100841

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHYSICIAN ASSISTANT LIC.PA9100841FL01




HEALTH CARE JOBS FL - Page 1



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