Individual
DR. MANUEL M RODRIGUEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11600 GLADIOLUS DR STE 102A, FORT MYERS, FL 33908-4565
(305) 542-4682
Mailing address
11600 GLADIOLUS DR STE 102A, FORT MYERS, FL 33908-4565
(305) 542-4682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19075
FL
Other
Enumeration date
02/25/2009
Last updated
11/21/2013
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