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NPI Code Detail

MEDICARE: JENNIFER RODRIGUEZ-FERRER MD PA

MEDICARE: JENNIFER RODRIGUEZ-FERRER MD PA
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
1207U00000XNuclear Medicine PhysicianME101154FL

General Provider Information

NPI Number : 1235390394
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENNIFER RODRIGUEZ-FERRER MD PA
Provider Business Mailing Address
First Line : 90 ALTON RD
Second Line : APT. PH 3310
City : MIAMI BEACH
State : FL
Zip : 33139-6707
Country : US
Telephone Number : 917-621-7076
Fax Number : 305-722-3625
Provider Business Practice Location Address
First Line : 90 ALTON RD
Second Line : APT. PH 3310
City : MIAMI BEACH
State : FL
Zip : 33139-6707
Country : US
Telephone Number : 917-621-7076
Fax Number : 305-722-3625
Authorized Official
Title or Position : PRESIDENT
Name : JENNIFER RODRIGUEZ-FERRER
Credential : MD
Telephone Number : 917-621-7076
Provider Enumeration Date : 06/21/2008
Last Update Date : 06/21/2008

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