RDM Professional Services, Inc.

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

Legal business name

RDM PROFESSIONAL SERVICES, INC.

Practice address

777 W Duval St
Lake City, FL 32055-5806

Phone

(386) 755-3300

Fax

(386) 935-4331

NPI assigned

Aug 22, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rolando Dominguez Mustafa, MDNPI 1508145251

Title

Owner

Phone

(973) 610-6389

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rolando Dominguez Mustafa, M.D.

  • Adult Medicine Physician
  • Lake City, FL
  • NPI 1508145251
  Medicare reassignment Care Compare group NPD Authorized official
• Amber Lynn Damato Fox, APRN

  • Family Nurse Practitioner
  • Alachua, FL
  • NPI 1689467722
  Medicare reassignment Care Compare group NPD
• Christina Nichole Thomas, APRN

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1184249732
  Medicare reassignment Care Compare group NPD
• Kara L Tomlinson

  • Family Medicine Physician
  • Lake City, FL
  • NPI 1114549565
  Medicare reassignment Care Compare group NPD
• Cynthia Bautista Magrini, MD

  • Internal Medicine Physician
  • Lake City, FL
  • NPI 1487737482
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1699322867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 SW ROSEMARY DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320246715",
            "telephone_number": "973-610-6389",
            "fax_number": "386-935-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320555806",
            "telephone_number": "386-755-3300",
            "fax_number": "386-935-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDM PROFESSIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ MUSTAFA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-610-6389",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015321200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon R Raulerson
• Ankem Ravindra, MD
• Rajani K Ravindra, MD
• Danae Elise Ray
• Melissa C Raymont, RCS
• Dominique L Reed
• Jerry William Register, D.C.
• Makayla D Register
• Reichert Eye Centers of N FL, PA
• Richard W Reichert, M.D.

• Adolescent Medicine (Internal Medicine) Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Adolescent Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.