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Organization

1055 WASHINGTON AVENUE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. J.R. RODRIGUEZ M.D. (DOCTOR)
(305) 534-9009
Entity
Organization

Contact information

Practice address
1055 WASHINGTON AVE, MIAMI BEACH, FL 33139-5017
(305) 534-9009
(305) 532-5942
Mailing address
1055 WASHINGTON AVE, MIAMI BEACH, FL 33139-5017
(305) 534-9009
(305) 532-5942

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10107
FL
207R00000X
Internal Medicine Physician
Primary
ME50089
FL

Other

Enumeration date
06/18/2013
Last updated
06/18/2013
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