| Oswaldo Javier Rodriguez Md Pa | |
|
1121 Sw 104th St Gainesville FL 32607-6348 | |
| (352) 514-6065 | |
| (352) 554-5073 |
| Full Name | Oswaldo Javier Rodriguez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1121 Sw 104th St, Gainesville, Florida |
| Authorized Official Name and Position | Oswaldo Rodriguez (OWNER) |
| Authorized Official Contact | 3525146065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oswaldo Javier Rodriguez Md Pa 1121 Sw 104th St Gainesville FL 32607-6348 Ph: (352) 514-2073 | Oswaldo Javier Rodriguez Md Pa 1121 Sw 104th St Gainesville FL 32607-6348 Ph: (352) 514-6065 |
| NPI Number | 1023741881 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 6800271156 |
|---|---|
| Medicare Enrollment ID | O20220922001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023741881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Oswaldo J Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770577744 PECOS PAC ID: 6901861244 Enrollment ID: I20041129000084 |
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