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Organization
LILYBET RODRIGUEZ LLC
Active
Organization
LILYBET RODRIGUEZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILYBET RODRIGUEZ PA (OWNER)
(786) 253-5825
Entity
Organization
Contact information
Practice address
9240 SW 72ND ST STE 241, MIAMI, FL 33173-3265
(305) 271-1919
Mailing address
11123 SW 128TH PL, MIAMI, FL 33186-4709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021184400
—
FL
Enumeration date
02/22/2023
Last updated
02/22/2023
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