RDM PROFESSIONAL SERVICES, INC. (NPI# 1699322867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699322867 |
Entity Type | Organization |
Organization Name | RDM PROFESSIONAL SERVICES, INC. |
Practice Address |
437 Sw Rosemary Dr Lake City FL 32024-6715 |
Practice Telephone | 9736106389 |
Practice Fax Number | 3869354331 |
Mailing Telephone | 9736106389 |
Mailing Fax Number | 3869354331 |
Enumeration Date | 2019-08-22 |
Last Update Date | 2019-08-22 |
Authorized Official Name | ROLANDO DOMINGUEZ MUSTAFA (OWNER / MEDICAL DIRECTOR) |
Authorized Official Telephone | 9736106389 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 015321200 | 05 |
Street Address |
437 SW ROSEMARY DR |
City | LAKE CITY |
State | FL |
Zip Code | 32024-6715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083170534 | Sf Brevard, LLC | Skilled Nursing Facility | 298 Sw Prosperity Place, Lake City, FL 32024 | 2019-02-20 |
1689103079 | Vivian Robinson | Driver | 133 Sw Maereatha Ct, Lake City, FL 32024 | 2017-06-08 |
1508014630 | Stephen Lewis O'steen | Physical Therapy Assistant | 146 Sw Orthopaedic Court, Lake City, FL 32024 | 2008-09-03 |
1598965634 | Lake City Surgery Center, LLC | Clinic/Center | 208 Sw Prosperity Place, Lake City, FL 32024 | 2007-07-18 |
1932308145 | Smile Designs By Charlotte Gerry | Dentist | 857 Sw Main Blvd, Suite 105, Lake City, FL 32024 | 2007-07-17 |
1790900447 | Leopold Bejamin Leblique | General Practice | 264 Sw Ridgeview Pl., Lake City, FL 32024 | 2007-04-16 |
1073785911 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 1403 Spring St, Lake City, FL 32024 | 2008-04-01 |
1124202502 | Christina Mcghghy | Physical Therapy Assistant | 289 Sw Stonegate Terr, Suite #101, Lake City, FL 32024 | 2007-12-21 |
1629682133 | Paula Carol Palmer | Registered Nurse | 3857 Sw Birley Ave, Lake City, FL 32024-0003 | 2020-09-02 |
1831635176 | Patricia Vance | Chore Provider | 2238 Sw Salem Rd, Lake City, FL 32024-0029 | 2017-01-10 |
Find all providers in zip 32024 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 |
---|---|---|---|---|
1114360831 | Pratik A Patel | Internal Medicine | 8041 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8559 | 2013-04-11 |
1346426178 | Raul M Templonuevo I | Internal Medicine | 5749 Norman H Cutson Dr, Orlando, FL 32821-5532 | 2008-01-10 |
1720108467 | Julio Arce | Internal Medicine | 8895 Tanglewood Pl, Apt 423, Tampa, FL 33617-6224 | 2007-03-29 |
1356479216 | Inderjit Kaur Bhullar | Internal Medicine | 17919 Simms Rd, Odessa, FL 33556-4758 | 2007-03-01 |
1982730016 | Laine Sheppard | Internal Medicine | 250 Brent Ln, Pensacola, FL 32503-2267 | 2007-02-25 |
1861540544 | Narendra K Maheshwari Md Pa | Internal Medicine | 601 E Sample Rd Ste 101, Pompano Beach, FL 33064-4443 | 2007-01-08 |
1548228265 | Madhavi Uppalapati | Internal Medicine | 1301 S International Pkwy, Suite 1001, Lake Mary, FL 32746-1409 | 2006-05-02 |
1114982014 | Rajesh B Dave | Internal Medicine | 6424 Embassy Blvd Ste A, Port Richey, FL 34668-4980 | 2006-04-20 |
1306817135 | Gil Emmanuel A Mejia | Internal Medicine | 4102 W Linebaugh Ave, Suite 100, Tampa, FL 33624-5296 | 2006-01-30 |
1023007382 | Tadur S Reddy | Internal Medicine | 4300 Clarcona Ocoee Rd, Orlando, FL 32810-4114 | 2005-10-19 |
Find all providers with the same taxonomy |
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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.