Individual
CARLOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15450 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-5408
(561) 601-3691
Mailing address
800 PARKSIDE CIR APT 801, PANAMA CITY BEACH, FL 32413-5181
(561) 601-3691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26072
FL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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