Healthcare Provider Details

I. General information

NPI: 1124278312
Provider Name (Legal Business Name): RESEARCH AND SERVICE FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 10/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 NW 132ND ST
OPA LOCKA FL
33054-4552
US

IV. Provider business mailing address

3800 NW 132ND ST
OPA LOCKA FL
33054-4552
US

V. Phone/Fax

Practice location:
  • Phone: 305-685-9331
  • Fax: 305-688-5852
Mailing address:
  • Phone: 305-685-9331
  • Fax: 305-688-5852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROLANDO J MUHLIG
Title or Position: REGISTER AGENT
Credential: PHD
Phone: 305-685-9331