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NPI Code Detail

MEDICARE: DR. BARRY M. RODWICK M. D.

MEDICARE:  DR. BARRY M. RODWICK  M. D.
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
1207R00000XInternal Medicine PhysicianME0056513FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2666778OTHERFLAETNA

General Provider Information

NPI Number : 1720084445
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY M. RODWICK M. D.
Provider Business Mailing Address
First Line : 2349 SUNSET POINT RD
Second Line : SUITE 405
City : CLEARWATER
State : FL
Zip : 33765-1456
Country : US
Telephone Number : 727-216-6193
Fax Number : 727-216-4992
Provider Business Practice Location Address
First Line : 2349 SUNSET POINT RD
Second Line : SUITE 405
City : CLEARWATER
State : FL
Zip : 33765-1456
Country : US
Telephone Number : 727-216-6193
Fax Number : 727-216-4992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 02/18/2013

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