# ANGELA M RODRIGUEZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649572512
- **Authorized official:** ANGELA M RODRIGUEZ MD (PRESIDENT)
- **Authorized official phone:** (954) 565-7779

## Contact information

- **Practice address:** 2600 NE 9TH ST, FT LAUDERDALE, FL 33304-3610
- **Practice address phone:** (954) 565-7779
- **Practice address fax:** (954) 565-6889
- **Mailing address:** PO BOX 11892, FT LAUDERDALE, FL 33339-1892
- **Mailing address phone:** (954) 565-7779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 11/29/2010