Individual
DR. GOTARDO ALENCAR RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 SW 13TH AVE, SUITE 200, MIAMI, FL 33135-2479
(305) 642-6966
(305) 642-6965
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0069345
FL
207RX0202X
Medical Oncology Physician
ME69345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14428
DIMENSION HEALTH
FL
01
—
214615
AVMED
FL
05
—
251480000
—
FL
05
—
268089100
—
FL
01
—
278877
AVMED
FL
01
—
32838
BCBS
FL
01
—
4079983
CIGNA
FL
01
—
7509277
AETNA
FL
01
—
P01594401
RR MEDICARE
FL
01
—
P1035761
FREEDOM
FL
01
—
P971527
OPTIMUM
FL
Enumeration date
05/16/2006
Last updated
06/06/2016
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