Individual
MR. INALDO LAZARO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
9436 SW 5TH LN, MIAMI, FL 33174-2114
(305) 370-9408
Mailing address
9436 SW 5TH LN, MIAMI, FL 33174-2114
(305) 370-9408
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LMT 31170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT 31170
INDEPENDENT
FL
Enumeration date
07/16/2011
Last updated
07/16/2011
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