OSVALDO RODRIGUEZ, M.D.
Osteopathic Medicine at Miller Woods Ct, Valrico, FL

License number
Florida ME57780
Category
Osteopathic Medicine
Type
Geriatric Medicine
Address
Address
2504 Miller Woods Ct, Valrico, FL 33594
Phone
(813) 655-1545
(813) 514-0337 (Fax)
National Provider ID: 1306848213
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OSVALDO RODRIGUEZ, M.D., PA

Valrico, FL  -  Tampa, FL

Status:
Inactive
Doing business as:
OSVALDO RODRIGUEZ, MD, PA<br>Osvaldo Rodriguez
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
May 28, 1993
Inactive since:
Aug 23, 1996
Phone:
(813) 655-1545 (Phone)
Addresses:
2504 Millerwoods Ct, Valrico, FL 33594 (Physical)
3115 W Columbus Dr, Tampa, FL 33607
State ID:
P93000039288
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary, Vice Presidents:
Thomas S. Rutherford (Principal),Osvaldo Rodriguez-Rosado (President, Director), 2504 Miller Wood Ct, Valrico, FL 33594 (Physical),Osvaldo Rodriguez (Internal Medicine),...
Agent:
Thomas Rutherford
EIN:
593194517

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