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Individual

DR. RHODERICK C NAZARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741-4405
(407) 933-1221
(407) 933-0747
Mailing address
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741-4405
(407) 933-1221
(407) 933-0747

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
84666
FL
207RP1001X
Pulmonary Disease Physician
Primary
84666
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17116
BLUE CROSS BLUE SHIELD
FL
05
264756700
FL
01
285149
AVMED PROVIDER ID
FL
01
3892967004
CIGNA PROVIDER ID
FL
01
4800614
UHC PROVIDER ID
FL
01
7728680
AETNA PROVIDER ID
FL
Enumeration date
04/17/2006
Last updated
02/20/2018
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