Healthcare Provider Details

I. General information

NPI: 1801703319
Provider Name (Legal Business Name): HM IN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2546 E 2ND ST STE 400
CASPER WY
82609-2062
US

IV. Provider business mailing address

525 S FEDERAL HWY
DEERFIELD BEACH FL
33441-4100
US

V. Phone/Fax

Practice location:
  • Phone: 954-421-8181
  • Fax: 954-426-2967
Mailing address:
  • Phone: 954-603-1898
  • Fax: 954-426-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 917-813-8399