Bruce A Rodan Md Pa in Jupiter - Diagnostic Radiology
Bruce A Rodan Md Pa - NPI 1598937104
Bruce A Rodan Md Pa is a Diagnostic Radiology in Jupiter, Florida. Bruce A Rodan Md Pa practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Bruce A Rodan Md Pa is 1598937104. The last update date is 2008-04-22.
Bruce A Rodan Md Pa's current location address is 111 Waterbridge Ln, Jupiter, Florida. You can contact this provider via phone number 5615757123 and fax number 5617457440. The mailing address for Bruce A Rodan Md Pa is 111 Waterbridge Ln, Jupiter, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce A Rodan Md Pa |
|---|---|
| Address | 111 Waterbridge Ln, Jupiter, Florida |
| Phone Number | 5615757123 |
| Fax Number | 5617457440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rodan Alan Bruce |
| Credentials | M.D. |
| Telephone Number | 5615757123 |
NPI Number Detail
| NPI Number | 1598937104 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 111 Waterbridge Ln |
|---|---|
| City | Jupiter |
| State | Florida (FL) |
| Post Code | 334587743 |
| Phone Number | 5615757123 |
| Fax Number | 5617457440 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | ME037878 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45954200 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce A Rodan Md Pa by the Centers for Medicare & Medicaid Services?
The Bruce A Rodan Md Pa has been assigned the NPI (National Provider Identifier) 1598937104 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bruce A Rodan Md Pa's facilities are situated?
The facilities of Bruce A Rodan Md Pa are physically located at the following address: 111 Waterbridge Ln, Jupiter, FL, 334587743.
What is Bruce A Rodan Md Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bruce A Rodan Md Pa is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598937104 to Bruce A Rodan Md Pa?
The Bruce A Rodan Md Pa received its 1598937104 assignment from the Centers for Medicare & Medicaid Services on 2008-03-24.
As of what date were the details related to Bruce A Rodan Md Pa most recently updated or revised?
The information pertaining to Bruce A Rodan Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-22.