Individual
ELLEN B RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5151 N 9TH AVE # ER, PENSACOLA, FL 32504-8721
(850) 416-7000
(850) 475-4781
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-7000
(850) 475-4781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS0007797
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
1019935
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256279100
—
FL
01
—
46616
BCBS
FL
Enumeration date
07/04/2006
Last updated
08/16/2024
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