| Rdm Professional Services, Inc. | |
|
777 W Duval St Lake City FL 32055-5806 | |
| (386) 755-3300 | |
| (386) 935-4331 |
| Full Name | Rdm Professional Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 W Duval St, Lake City, Florida |
| Authorized Official Name and Position | Rolando Dominguez Mustafa (OWNER) |
| Authorized Official Contact | 9736106389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rdm Professional Services, Inc. 437 Sw Rosemary Dr Lake City FL 32024-6715 Ph: (973) 610-6389 | Rdm Professional Services, Inc. 777 W Duval St Lake City FL 32055-5806 Ph: (386) 755-3300 |
| NPI Number | 1699322867 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/29/2025 |
| Medicare PECOS PAC ID | 8820423502 |
|---|---|
| Medicare Enrollment ID | O20200128000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699322867 | NPI | - | NPPES |
| 015321200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
| Provider Name | Rolando Dominguez Mustafa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508145251 PECOS PAC ID: 0143472225 Enrollment ID: I20150916002917 |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
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Raimah Primary Care Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1283 Sw State Road 47, 103, Lake City, FL 32025 Phone: 386-754-0339 Fax: 386-754-0393 | |
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