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MR. LUIS G RODAS PA
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1609879360
Individual Registrant:MR. LUIS G RODAS PA
Gender: M
Sole Proprietor
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
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
Tel: 954-429-1303 Fax: 954-337-0157
Registration Information:
NPI: 1609879360
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical | FL | PA9100841 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PHYSICIAN ASSISTANT LIC. | PA9100841 | FL | 01 |
