| Juan Carlos Rondon Md Pa | |
|
3157 N University Dr Ste 103 Hollywood FL 33024-2258 | |
| (954) 322-8985 | |
| (954) 322-8981 |
| Full Name | Juan Carlos Rondon Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3157 N University Dr Ste 103, Hollywood, Florida |
| Authorized Official Name and Position | Juan Carlos Rondon (OWNER/ MD) |
| Authorized Official Contact | 9543228985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Carlos Rondon Md Pa 3157 N University Dr Suite 103 Davie FL 33024-3623 Ph: (954) 322-8985 | Juan Carlos Rondon Md Pa 3157 N University Dr Ste 103 Hollywood FL 33024-2258 Ph: (954) 322-8985 |
| NPI Number | 1710930474 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 03/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710930474 | NPI | - | NPPES |
| 258851000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME79915 (Florida) | Primary |
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