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Individual

DR. JUAN CARLOS RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 N PALM AVE, SUITE 109, PEMBROKE PINES, FL 33026-3240
(954) 271-0411
(954) 206-0111
Mailing address
3484 MEADOWBROOK WAY, DAVIE, FL 33328-7327
(954) 271-0411
(954) 901-2727

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME87038
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME87038
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME87038
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME87038
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279163300
FL
Enumeration date
08/12/2005
Last updated
12/15/2016
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