# UNIVERSITY DR MEDICAL OFFICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1669576112
- **Authorized official:** MARIBEL RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (954) 322-9113

## Contact information

- **Practice address:** 7131 TAFT ST, HOLLYWOOD, FL 33024-3805
- **Practice address phone:** (954) 322-9113
- **Mailing address:** 7131 TAFT ST, HOLLYWOOD, FL 33024-3805
- **Mailing address phone:** (954) 322-9113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC6896 | FL | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F80687 | OCCUPATIONAL LIC | FL |