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NPI Code Detail

MEDICARE: MR. CHAD RHODEN

MEDICARE: MR. CHAD RHODEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP9249227FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225431166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHAD RHODEN
Provider Business Mailing Address
First Line : 1600 SW ARCHER RD
Second Line : ROOM NUMBER 2944
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-265-8940
Fax Number : 352-265-8970
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line : ROOM NUMBER 2944
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-265-8940
Fax Number : 352-265-8970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2014
Last Update Date : 12/16/2014

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