Healthcare Provider Details

I. General information

NPI: 1376509166
Provider Name (Legal Business Name): RODRIGO A NEHGME MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 02/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 W.STUTERVANT STREET
ORLANDO FL
32806-4000
US

IV. Provider business mailing address

3200 SW 60TH CT
MIAMI FL
33155-4000
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-8301
  • Fax: 305-662-8304
Mailing address:
  • Phone: 305-662-8301
  • Fax: 305-662-8304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME79913
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: