RODOLFO G MIRO MD PA (NPI# 1285935213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285935213 |
| Entity Type | Organization |
| Organization Name | RODOLFO G MIRO MD PA |
| Practice Address |
2108 Lakeland Hills Blvd Lakeland FL 33805-2906 |
| Practice Telephone | 8636837561 |
| Practice Fax Number | 8636822423 |
| Mailing Telephone | 8636837561 |
| Mailing Fax Number | 8636822423 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | DIANE JORDAN (SECRETARY) |
| Authorized Official Telephone | 8636837561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME16261 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID NUMBER | 53385 | 01 |
| Street Address |
2108 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699987800 | Mahmudul Haque | Internal Medicine | 805 East Garden Street, Lakeland, FL 33805-4616 | 2007-05-03 |
| 1508915943 | David J Vargas Md Pa | Internal Medicine | 1114 S Florida Avenue, Lakeland, FL 33803 | 2007-01-08 |
| 1154410272 | Izsak & Lamport,md,pa | Internal Medicine | 1222 S Florida Ave, Lakeland, FL 33803-2202 | 2006-10-12 |
| 1730585068 | Tammy Gebo-seaman | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2014-11-13 |
| 1013222058 | Lijian Wang | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2010-08-14 |
| 1790929776 | Roger Montenegro | Internal Medicine | 130 Pablo St, Lakeland, FL 33803-3818 | 2009-04-22 |
| 1881750305 | David J Vargas | Internal Medicine | 130 Pablo St, Lakeland, FL 33803-3818 | 2006-12-29 |
| 1760429062 | Joffre Rivera | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2006-06-02 |
| 1942262647 | Victor C Nwakakwa | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-04-06 |
| 1700857901 | Louis Stephen Saco | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-01-27 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.