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Organization
JULIO L RODRIGUEZ MD PA
Active
Organization
JULIO L RODRIGUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO LAZARO RODRIGUEZ MD (PRESIDENT)
(239) 693-9191
Entity
Organization
Contact information
Practice address
4881 PALM BEACH BLVD STE 100, FORT MYERS, FL 33905-3217
(239) 693-9191
(239) 693-7369
Mailing address
4881 PALM BEACH BLVD STE 100, FORT MYERS, FL 33905-3217
(239) 693-9191
(239) 693-7369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME59828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052174400
—
FL
Enumeration date
10/26/2010
Last updated
10/26/2010
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