Individual
LEONARDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 376-1611
(352) 271-4574
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 376-1611
(352) 271-4574
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME96659
FL
2084P0802X
Addiction Psychiatry Physician
ME96659
FL
2084P0805X
Geriatric Psychiatry Physician
ME96659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279279600
—
FL
Enumeration date
09/22/2006
Last updated
11/21/2011
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