| Organization Name: | DR. JAY G. RHODES PA |
| NPI Number: | 1043591118 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY GERALD RHODES (CEO) |
| Mailing Address: | 5642 W Atlantic Blvd Margate |
| State: | FL US |
| Postal Code: | 330634523 |
| Phone Number: | 9549743535 |
| Fax Number: | 9549711081 |
| NPI Enumeration Date: | 09/02/2011 |
| NPI Last Update Date: | 09/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO0001343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |