Organization
MY CHILDREN'S DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS R RODRIGUEZ M.D. (CEO)
(941) 625-1999
Entity
Organization
Contact information
Practice address
2484 CARING WAY, SUITE D, PORT CHARLOTTE, FL 33952-6729
(941) 625-1999
(941) 625-4600
Mailing address
2484 CARING WAY, SUITE D, PORT CHARLOTTE, FL 33952-5306
(941) 625-1999
(941) 625-4600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME62983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269202300
—
FL
Enumeration date
08/03/2006
Last updated
09/30/2011
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