| Doctor Name: | MR. LUIS G RODAS |
| NPI Number: | 1609879360 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA9100841 |
| Business Practice Address: | 4001 N Ocean Dr Lauderdale By The Sea, FL - 333085968 |
| Business Phone Number: | 9547714000 |
| Business Fax Number: | 9547760670 |
| Mailing Address: | 9 Ne 20th Ave, Apt # 301 DEERFIELD BEACH |
| State: | FL |
| Postal Code: | 334416114 |
| Phone Number: | 9544291303 |
| Fax Number: | 9543370157 |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9100841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |