Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | OS8006 | FL |
N | 208600000X | Surgeon | OS8006 | FL |
N | 2082S0105X | Plastic Hand Surgeon | OS8006 | FL |
N | 2086S0105X | Surgery of the Hand | OS8006 | FL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | OS8006 | FL |
NPI | 1679558837 |
---|---|
Provider Name | Ofer Rodriguez |
First Address | Miami, FL 33155-2938 |
Second Address | Miami, FL 33155-2938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 26/01/2021 |