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Organization
VIRGINIO RODRIGUEZ III
Active
Organization
VIRGINIO RODRIGUEZ III
Active
Other names
VR PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI G LEWIS (BILLER)
(386) 873-4740
Entity
Organization
Contact information
Practice address
345 CLYDE MORRIS BLVD STE 360, ORMOND BEACH, FL 32174-3114
(386) 873-4740
(386) 873-4742
Mailing address
345 CLYDE MORRIS BLVD STE 360, ORMOND BEACH, FL 32174-3114
(386) 873-4740
(386) 873-4742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME56648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256164600
—
FL
05
—
256164601
—
FL
Enumeration date
09/30/2013
Last updated
09/30/2013
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