Organization
PAUL A RODRIGUEZ DO PA
Active
Other names
VIP PAIN MEDICINE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A RODRIGUEZ D.O., P.A. (DIRECTOR, PRESIDENT,SECRETARY,TREAS)
(954) 941-0484
Entity
Organization
Contact information
Practice address
1821 NE 25TH ST, SUITE 100, LIGHTHOUSE POINT, FL 33064-7744
(954) 941-0484
(954) 941-0485
Mailing address
1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL 33064
(954) 941-0484
(954) 941-0485
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS7048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257541800
—
FL
01
—
285366
AVMED
FL
01
—
49427
BCBS
FL
01
—
DQ2139
RAILROAD MEDICARE
FL
01
—
L4QH7
FLORIDA BLUE
FL
Enumeration date
08/07/2006
Last updated
04/11/2017
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