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Organization
RANDI-ANN RODRIGUES DO PA
Active
Organization
RANDI-ANN RODRIGUES DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDI-ANN RODRIGUES D.O. (PRESIDENT)
(407) 971-1290
Entity
Organization
Contact information
Practice address
1410 W BROADWAY ST STE 106, OVIEDO, FL 32765-6537
(407) 971-1290
(407) 971-1291
Mailing address
1410 W BROADWAY ST STE 106, OVIEDO, FL 32765-6537
(407) 971-1290
(407) 971-1291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131312
HUMANA
FL
01
—
14434701
CITRUS
FL
01
—
17512
FHHS
FL
01
—
284361
AVMED
FL
01
—
293284
AMERIGROUP
FL
01
—
584112
AETNA
FL
01
—
62826
BCBS
FL
01
—
6699260
CIGNA
FL
Enumeration date
04/10/2007
Last updated
08/22/2020
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