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Organization
JAIME J RODRIGUEZ MD INC
Active
Organization
JAIME J RODRIGUEZ MD INC
Active
Other names
Southeast Perinatal Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
4105 PEMBROKE RD, HOLLYWOOD, FL 33021-8103
(954) 985-1551
Mailing address
PO BOX 817087, HOLLYWOOD, FL 33081-1087
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255648102
—
FL
01
—
38634
BCBS
FL
Enumeration date
11/15/2005
Last updated
09/19/2019
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