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Organization
RDM PROFESSIONAL SERVICES, INC.
Active
Organization
RDM PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO DOMINGUEZ MUSTAFA MD (OWNER)
(973) 610-6389
Entity
Organization
Contact information
Practice address
777 W DUVAL ST, LAKE CITY, FL 32055-5806
(386) 755-3300
(386) 935-4331
Mailing address
437 SW ROSEMARY DR, LAKE CITY, FL 32024-6715
(973) 610-6389
(386) 935-4331
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/29/2025
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