Mr Luis Ramon Rodriguez, MD | |
2484 Caring Way, Suite D, Port Charlotte, FL 33952 | |
(941) 625-1999 | |
(941) 625-4600 |
Full Name | Mr Luis Ramon Rodriguez |
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Gender | Male |
Speciality | Pediatrics |
Location | 2484 Caring Way, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184697781 | NPI | - | NPPES |
372194900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME62983 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Mailing Address | Practice Location Address |
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Mr Luis Ramon Rodriguez, MD 2484 Caring Way, Suite D, Port Charlotte, FL 33952 Ph: (941) 625-1999 | Mr Luis Ramon Rodriguez, MD 2484 Caring Way, Suite D, Port Charlotte, FL 33952 Ph: (941) 625-1999 |
Dr. Mary C Sokoloski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Sandra Hegarty, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy, #500, Port Charlotte, FL 33980 Phone: 239-344-2325 Fax: 941-764-6176 | |
Dr. Viraine S Weerasooriya, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Aslam Hyder Qureshi, Pediatrics Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Dr. Ebenezer Kuma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3406 Tamiami Trl Unit 2, Port Charlotte, FL 33952 Phone: 941-625-4919 Fax: 941-625-5516 | |
Dr. Shahzaib Mirza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy Ste 500, Port Charlotte, FL 33980 Phone: 393-442-3252 Fax: 941-764-6176 |