# 1055 WASHINGTON AVENUE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598104986
- **Authorized official:** DR. J.R. RODRIGUEZ M.D. (DOCTOR)
- **Authorized official phone:** (305) 534-9009

## Contact information

- **Practice address:** 1055 WASHINGTON AVE, MIAMI BEACH, FL 33139-5017
- **Practice address phone:** (305) 534-9009
- **Practice address fax:** (305) 532-5942
- **Mailing address:** 1055 WASHINGTON AVE, MIAMI BEACH, FL 33139-5017
- **Mailing address phone:** (305) 534-9009
- **Mailing address fax:** (305) 532-5942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH10107 | FL | — |
| 207R00000X | Internal Medicine Physician | ME50089 | FL | Yes |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 06/18/2013