Individual
MR. JAN RICHARD RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 DUNLAWTON AVE, STE 1A, PORT ORANGE, FL 32127
(386) 760-5008
(386) 760-0084
Mailing address
1400 DUNLAWTON AVE, STE 1A, PORT ORANGE, FL 32127
(386) 760-5008
(386) 760-0084
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0044566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106797500
—
FL
Enumeration date
08/31/2005
Last updated
10/23/2020
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