Most Relevant Information
Provider Data
| NPI Number: | 1003829540 |
| Provider Name: | RODOLFO PATAKY P.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA9100832 |
Most Important Dates
| Enumeration Date: | 08/15/2006 |
| Last Updated: | 09/12/2016 |
Provider Practice Location
12781 SW 42ND ST
SUITE G
MIAMI
FL
331753437
Practice Location Phone/Fax
| Phone: | 3055532220 |
| Fax: | 3055539753 |
Provider Mailing Location
12781 SW 42ND ST
SUITE G
MIAMI
FL
331753437
Provider Mailing Phone/Fax
| Phone: | 3055532220 |
| Fax: | 3055539753 |