Organization
FORT LAUDERDALE VASCULAR ACCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD H. RODGERS JR. (PRESIDENT)
(610) 644-8900
Entity
Organization
Contact information
Practice address
3601 W COMMERCIAL BLVD, SUITE 21, FORT LAUDERDALE, FL 33309-3300
(954) 497-2161
(954) 535-5507
Mailing address
182 INDUSTRIAL RD, GLEN ROCK, PA 17327-8626
(717) 759-6739
(717) 235-4024
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
05/31/2013
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