PHILIP RODRIGUEZ MD PA
Medical Practice at Bayshore Dr, Miami, FL

License number
Florida 38936500128250
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: DR. PHILIP RODRIGUEZ MD
Title: PRESIDENT
Phone: (306) 858-3096
Address
Address
1616 S Bayshore Dr, Miami, FL 33133
National Provider ID: 1689965956
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Philip Rodriguez Md Pa

Miami, FL

Industry:
Medical Doctor's Office
Doing business as:
Philip Rodriguez M.D. PA
Inactive reason:
REINSTATEMENT
Registration:
Dec 29, 1989
Inactive since:
Sep 3, 1991
Addresses:
1616 S Bayshore Dr, Miami, FL 33133
626 Coral Way, Miami, FL 33134
6035 Bird Rd, Miami, FL 33155
State ID:
L39186
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Vice President:
Philip Rodriguez (President, Treasurer, Secretary, Vice President)
Agent:
Rodriguez, Philip,6035 SW 40 #101, Miami, FL 33150 (Physical)
EIN:
65-0171886

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