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Organization
HM IN
Active
Organization
HM IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (CEO)
(917) 813-8399
Entity
Organization
Contact information
Practice address
2546 E 2ND ST STE 400, CASPER, WY 82609-2062
(917) 813-8399
(954) 426-2967
Mailing address
525 S FEDERAL HWY, DEERFIELD BEACH, FL 33441-4100
(954) 603-1898
(954) 426-2967
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/27/2026
Last updated
10/07/2026
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