Organization
BRUCE A RODAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ALAN RODAN M.D. (PRESIDENT)
(561) 575-7123
Entity
Organization
Contact information
Practice address
111 WATERBRIDGE LN, JUPITER, FL 33458-7743
(561) 575-7123
(561) 745-7440
Mailing address
111 WATERBRIDGE LN, JUPITER, FL 33458-7743
(561) 575-7123
(561) 745-7440
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME037878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045954200
—
FL
Enumeration date
03/24/2008
Last updated
04/22/2008
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