Individual
DR. ULISES LAZARO RODRIGUEZ AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 OPA LOCKA BLVD, OPA LOCKA, FL 33054-3526
(786) 476-3333
(786) 621-7816
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1009
FL
Other
Enumeration date
05/22/2017
Last updated
03/09/2021
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