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Individual
HENRY DEWITT RODEFFER
Active
Individual
HENRY DEWITT RODEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 46565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14101
BCBS
FL
01
—
L1249
MEDICARE
FL
Enumeration date
11/04/2005
Last updated
06/09/2023
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