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Organization
RODRIGO BALTODANO INC
Active
Organization
RODRIGO BALTODANO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODRIGO BALTODANO MD (OWNER)
(352) 394-0043
Entity
Organization
Contact information
Practice address
3125 CITRUS TOWER BOULEVARD, BLDG C, CLERMONT, FL 34711
(352) 394-0043
(352) 394-0640
Mailing address
3125 CITRUS TOWER BLVD, CLERMONT, FL 34711-6803
(352) 394-0043
(352) 394-0640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME88226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6179630001
DMEPOS
FL
Enumeration date
07/28/2006
Last updated
12/22/2011
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