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NPI Code Detail

MEDICARE: RODOLFO PATAKY P.A.

MEDICARE:   RODOLFO  PATAKY  P.A.
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
1363A00000XPhysician AssistantPA9100832FL

Other Identifiers

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

General Provider Information

NPI Number : 1003829540
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODOLFO PATAKY P.A.
Provider Business Mailing Address
First Line : 12781 SW 42ND ST
Second Line : SUITE G
City : MIAMI
State : FL
Zip : 33175-3437
Country : US
Telephone Number : 305-553-2220
Fax Number : 305-553-9753
Provider Business Practice Location Address
First Line : 12781 SW 42ND ST
Second Line : SUITE G
City : MIAMI
State : FL
Zip : 33175-3437
Country : US
Telephone Number : 305-553-2220
Fax Number : 305-553-9753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 09/12/2016

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Directions to “ RODOLFO PATAKY P.A.” Practice Location

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