# WOMENS PHYSICIANS OF JACKSONVILLE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205966090
- **Authorized official:** DR. LORRAINE RODRIGUEZ M.D. (PRESIDENT)
- **Authorized official phone:** (904) 296-2441

## Contact information

- **Practice address:** 6879 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-6179
- **Practice address phone:** (904) 296-2441
- **Practice address fax:** (904) 821-3113
- **Mailing address:** 6879 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-6179
- **Mailing address phone:** (904) 296-2441
- **Mailing address fax:** (904) 821-3113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3559243 | AETNA | FL |
| 01 | — | 74713 | BCBS | FL |
| 01 | — | DC1688 | RAILROAD MEDICARE | FL |