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Individual
MARISABEL RODRIGUEZ
Active
Individual
MARISABEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9116013
FL
363A00000X
Physician Assistant
Primary
PA9116013
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130106700
—
FL
Enumeration date
02/04/2020
Last updated
03/27/2026
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