IGNACIO RODRIGUEZ MD PA
Medical Practice at Oakland Park Blvd, Fort Lauderdale, FL

License number
Florida ME042334
Category
Medical Practice
Type
Otolaryngology
Owner
Name: DR. IGNACIO RODRIGUEZ M.D.
Title: PRESIDENT
Phone: (954) 486-4180
Address
Address
4850 W Oakland Park Blvd SUITE 102, Fort Lauderdale, FL 33313
National Provider ID: 1568475945
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IGNACIO RODRIGUEZ, M.D. PA

4850 W Oakland Park Blvd SUITE 102, Fort Lauderdale, FL 33313

Status:
Inactive
Industry:
Anesthesiology, Audiology, Ent, ...
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 6, 2005
Inactive since:
Sep 23, 2011
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
State ID:
P05000051386
Business type:
Florida Profit Corporation
President, Director:
Ignacio Dr Rodriguez President, Director, inactive, 4850 W Oakland Park Blvd SUITE 102, Fort Lauderdale, FL 33313 (Physical)
Agent:
Ignacio Rodriguez,4850 W Oakland Park Blvd SUITE 102, Fort Lauderdale, FL 33313 (Physical)
EIN:
202639112

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