Individual
EVELYN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1565 SAXON BLVD STE 102, DELTONA, FL 32725-5823
(386) 917-7395
(386) 532-7152
Mailing address
1565 SAXON BLVD STE 102, DELTONA, FL 32725-5823
(386) 917-7395
(386) 532-7152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00044960
WA
207Q00000X
Family Medicine Physician
Primary
ME145161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208233
L & I
WA
05
—
106651100
—
FL
01
—
8426819
CHPW
WA
05
—
8426819
—
WA
01
—
911019392
COMMERCIAL
—
01
—
9392RO
REGENCE
WA
Enumeration date
10/31/2006
Last updated
09/23/2024
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