Individual
DR. JEEVAN DIPTEE RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 116TH AVE, TREASURE ISLAND, FL 33706-1017
(727) 743-9158
Mailing address
810 116TH AVE, TREASURE ISLAND, FL 33706-1017
(727) 743-9158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
89856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270141300
—
FL
Enumeration date
02/27/2007
Last updated
02/27/2018
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