Individual
ALEXIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5533 SW 64TH ST, GAINESVILLE, FL 32608-9608
(352) 271-5967
Mailing address
889 LABARON DRIVE, MIAMI SPRINGS, FL 33166
(305) 342-1154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621044900
—
FL
Enumeration date
03/14/2006
Last updated
01/06/2010
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