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Individual

DR. RODOLFO L DY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6633 FOREST AVE, SUITE 100, NEW PORT RICHEY, FL 34653-2612
(727) 375-2849
(727) 838-6188
Mailing address
PO BOX 1698, CLEARWATER, FL 33757-1698
(727) 532-0002

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0049985
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003205900
FL
01
P00937056
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
02/14/2006
Last updated
07/28/2011
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