Individual
RODOVALDO MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OAT
Contact information
Practice address
8905 SW 87TH AVE, STE 100, MIAMI, FL 33176-2227
(305) 661-3000
(305) 661-3054
Mailing address
8905 SW 87TH AVE, STE 100, MIAMI, FL 33176-2227
(305) 661-3000
(305) 661-3054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OAT10160
FL
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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