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Organization

RODOLFO L DY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODOLFO LAUIGAN DY M.D. (PRESIDENT)
(727) 863-0034
Entity
Organization

Contact information

Practice address
14100 FIVAY ROAD, SUITE 130, HUDSON, FL 34667-7159
(727) 863-0034
(727) 869-9465
Mailing address
14100 FIVAY ROAD, SUITE 130, HUDSON, FL 34667-7159
(727) 863-0034
(727) 869-9465

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME004985
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K1450
MEDICARE GROUP NUMBER
FL
Enumeration date
08/01/2007
Last updated
03/04/2008
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