MEDICARE: DR. ARMANDO D RODRIGUEZ D.M.D 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
1	122300000X	Dentist	DN0013356	FL

General Provider Information

NPI Number	:	1942400213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMANDO D RODRIGUEZ D.M.D PA

Provider Business Mailing Address
First Line	:	5871 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3209
Country	:	US
Telephone Number	:	561-642-4900
Fax Number	:	561-642-9094

Provider Business Practice Location Address
First Line	:	5871 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3209
Country	:	US
Telephone Number	:	561-642-4900
Fax Number	:	561-642-9094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	07/24/2007

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