Individual
RODRIGO BELALCAZAR ARDILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
2196 SW 166TH AVE, MIRAMAR, FL 33027-4444
(305) 794-2744
Mailing address
2196 SW 166TH AVE, MIRAMAR, FL 33027-4444
(305) 794-2744
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
062187
GA
207W00000X
Ophthalmology Physician
249662
NY
207W00000X
Ophthalmology Physician
M9848
TX
207W00000X
Ophthalmology Physician
Primary
ME 105283
FL
208000000X
Pediatrics Physician
062187
GA
208000000X
Pediatrics Physician
249662
NY
208000000X
Pediatrics Physician
M9848
TX
208000000X
Pediatrics Physician
ME 105283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001466700
—
FL
Enumeration date
07/09/2008
Last updated
02/11/2011
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