Provider Demographics
NPI:1508299298
Name:RODOLFO E. ALDIR, M.D., P.A.
Entity Type:Organization
Organization Name:RODOLFO E. ALDIR, M.D., P.A.
Other - Org Name:CARDIOVASCULAR CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALDIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-325-1082
Mailing Address - Street 1:3129 BUTLER BAY DR N
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-7702
Mailing Address - Country:US
Mailing Address - Phone:407-325-1082
Mailing Address - Fax:
Practice Address - Street 1:2551 BOGGY CREEK RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-3806
Practice Address - Country:US
Practice Address - Phone:407-348-0990
Practice Address - Fax:407-944-9041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0063997207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty