Individual
MR. ROLDIG DE LA ORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
13685 SW 75TH ST, MIAMI, FL 33183-3253
(786) 348-5520
Mailing address
13685 SW 75TH ST, MIAMI, FL 33183-3253
(786) 348-5520
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9368135
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9368135
FL
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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