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Licenses
Medical Practice
Florida
17364
AGUSTIN R RODRIGUEZ
Medical Practice at Gibson Rd, Fort Walton Beach, FL
License number
Florida 17364
Issued Date
Dec 31, 1973
Effective Date
Feb 11, 2004
Expiration Date
Jan 31, 2004
Category
Health Care
Type
Medical Doctor
Address
Address
138 Gibson Rd, Fort Walton Beach, FL 32547
Personal information
See more information about
AGUSTIN R RODRIGUEZ at radaris.com
Name
Address
Phone
Agustin Rodriguez
, age
58
5460 E 4Th Ave, Hialeah, FL 33013
(305) 556-8312
Agustin Rodriguez
, age
95
5100 Preserve Blvd, Saint Cloud, FL 34772
Agustin Rodriguez
, age
84
525 SW 88Th Ct, Miami, FL 33174
(386) 383-1819
Agustin Rodriguez
, age
84
525 SW 88Th Ct APT 1, Miami, FL 33174
(305) 223-7578
Agustin Rodriguez
, age
82
636 Tradewinds Dr, Deltona, FL 32738
(407) 414-0671
Organization information
See more information about
AGUSTIN R RODRIGUEZ at bizstanding.com
AGUSTIN R. RODRIGUEZ, M. D., P. A
138 Gibson Rd % Augustin R Rodriguez, Fort Walton Beach, FL 32547
Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 9, 1982
Inactive since:
Oct 1, 2004
State ID:
F98789
Business type:
Florida Profit Corporation
S:
Agustin R. Rodriguez,Sara Rodriguez
Agent:
M. Rodriguez,
138 Gibson Rd, Fort Walton Beach, FL 32547
(Physical)
FEI/EIN:
59-2215402
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ERIC J MAJORS
, Physician Assistant,
322 NE Racetrack Rd SUITE B, Fort Walton Beach, FL 32547
MAX R DAWKINS
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SCOT T WILLIAMS
, Physician Assistant,
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