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Individual

DR. RODOLFO D EICHBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2914 N BOULEVARD, TAMPA, FL 33602-1208
(813) 228-7696
(813) 228-0677
Mailing address
2914 N BOULEVARD, TAMPA, FL 33602-1208
(813) 228-7696
(813) 228-0677

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
ME0022720
FL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0022720
FL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
ME0022720
FL
209800000X
Legal Medicine (M.D./D.O.) Physician
ME0022720
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0690805-00
FL
01
205612
AVMED
FL
01
2306876
UNITED HEALTHCARE
FL
01
2351293013
CIGNA
FL
01
29855
BLUE CROSS
FL
01
4092884
AETNA
FL
Enumeration date
04/19/2006
Last updated
10/28/2011
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