Charles L Rodriguez in Venice - Plastic Surgery
Charles L Rodriguez - NPI 1104818525
Charles L Rodriguez is a Plastic Surgery in Venice, Florida. Charles L Rodriguez practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Charles L Rodriguez is 1104818525. The last update date is 2019-02-07.
Charles L Rodriguez's current location address is 329 Nokomis Ave S Ste K&m, Venice, Florida. You can contact this provider via phone number 9418004305 and fax number 9418004963. The mailing address for Charles L Rodriguez is 329 Nokomis Ave S Ste K&m, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles L Rodriguez |
|---|---|
| Address | 329 Nokomis Ave S Ste K&m, Venice, Florida |
| Phone Number | 9418004305 |
| Fax Number | 9418004963 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104818525 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2019-02-07 |
Provider Mailing Address Detail
| Address | 329 Nokomis Ave S Ste K&m |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342852418 |
| Phone Number | 9418004305 |
| Fax Number | 9418004963 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | ME88067 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 267751200 | FL | -- | |
| 71905 | FL | BCBS | |
| 71905Y | FL | PTAN | |
| P00072142 | FL | MEDICARE RR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles L Rodriguez?
The Charles L Rodriguez has been issued the NPI (National Provider Identifier) 1104818525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Charles L Rodriguez is physically located?
The Charles L Rodriguez is situated at the following address: 329 Nokomis Ave S Ste K&M, Venice, FL 342852418.
What is Charles L Rodriguez's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles L Rodriguez is Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 208200000X.
On what date was the 1104818525 assigned to Charles L Rodriguez?
The Charles L Rodriguez was issued its 1104818525 on 2005-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Charles L Rodriguez most recently updated or revised?
The details related to Charles L Rodriguez, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-07.