Individual
FREDDIE MIGUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0043498
FL
208M00000X
Hospitalist Physician
Primary
ME43498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000107002
HUMANA
FL
01
—
025812
NHP
FL
05
—
068343400
—
FL
01
—
100012
AVMED
FL
01
—
22366
STAYWELL
FL
01
—
3910354
CIGNA
FL
01
—
5390561
AETNA
FL
01
—
96399
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
06/06/2006
Last updated
11/06/2024
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