Organization
AVERHOFF AND RODRIGUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREIDYS MALETA (MANAGER)
(954) 432-0578
Entity
Organization
Contact information
Practice address
20230 NW 5TH ST, PEMBROKE PINES, FL 33029-3413
(954) 432-0578
(954) 432-5060
Mailing address
20230 NW 5TH ST, PEMBROKE PINES, FL 33029-3413
(954) 432-0578
(954) 432-5060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0033998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29176
BCBS
FL
01
—
ME0033998
MEDICAL LICENSE
FL
Enumeration date
09/16/2010
Last updated
09/16/2010
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