Provider Demographics
NPI:1891568499
Name:DOCTOR AT MY DOOR, LLC
Entity Type:Organization
Organization Name:DOCTOR AT MY DOOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-417-2722
Mailing Address - Street 1:17475 COLLINS AVE UNIT 2401
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISL BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4686
Mailing Address - Country:US
Mailing Address - Phone:786-417-2722
Mailing Address - Fax:
Practice Address - Street 1:17475 COLLINS AVE UNIT 2401
Practice Address - Street 2:
Practice Address - City:SUNNY ISL BCH
Practice Address - State:FL
Practice Address - Zip Code:33160-4686
Practice Address - Country:US
Practice Address - Phone:786-417-2722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty