OrganizationActive
Rdm Professional Services, Inc.
NPI 1699322867 · Adolescent Medicine (Internal Medicine) Physician · Lake City, FL
Provider details
- NPI number
- 1699322867
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Rolando Dominguez Mustafa, Owner
Practice location
777 W Duval St
Lake City, FL 32055-5806
Phone: (386) 755-3300
Fax: (386) 935-4331
Mailing address
437 Sw Rosemary Dr
Lake City, FL 32024-6715
Registry dates
- Enumerated
- 2019-08-22
- Last updated
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.