Organization
UNIVERSITY DR MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL RODRIGUEZ (PRESIDENT)
(954) 322-9113
Entity
Organization
Contact information
Practice address
7131 TAFT ST, HOLLYWOOD, FL 33024-3805
(954) 322-9113
Mailing address
7131 TAFT ST, HOLLYWOOD, FL 33024-3805
(954) 322-9113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC6896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F80687
OCCUPATIONAL LIC
FL
Enumeration date
09/12/2006
Last updated
08/22/2020
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