Individual
DR. RODRIGO BLEZA MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 NORTH CLYDE MORRIS BLVD., SUITE 480, HALIFAX CENTER FOR TRANSPLANT SERVICES, DAYTONA BEACH, FL 32114-2766
(386) 947-4650
(386) 947-4690
Mailing address
311 NORTH CLYDE MORRIS BLVD., SUITE 480, HALIFAX CENTER FOR TRANSPLANT SERVICES, DAYTONA BEACH, FL 32114-2766
(386) 947-4650
(386) 947-4690
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME104900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001299700
—
FL
Enumeration date
07/10/2006
Last updated
12/02/2009
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