Individual
MR. LUIS G RODAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4001 N OCEAN DR, LAUDERDALE BY THE SEA, FL 33308-5968
(954) 771-4000
(954) 776-0670
Mailing address
9 NE 20TH AVE, APT # 301, DEERFIELD BEACH, FL 33441-6114
(954) 429-1303
(954) 337-0157
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9100841
PHYSICIAN ASSISTANT LIC.
FL
Enumeration date
05/24/2005
Last updated
07/08/2007
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