Healthcare Provider Details

I. General information

NPI: 1780665422
Provider Name (Legal Business Name): RP MEDICAL LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4051 THOMASSA CT
ORLANDO FL
32812-5866
US

IV. Provider business mailing address

4051 THOMASSA CT
ORLANDO FL
32812-5866
US

V. Phone/Fax

Practice location:
  • Phone: 407-579-9371
  • Fax: 407-295-1041
Mailing address:
  • Phone: 407-579-9371
  • Fax: 407-295-1041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: RUDY S PANGANIBAN
Title or Position: PRESIDENT
Credential: MD
Phone: 407-579-9371