Individual
LISA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10323 CROSS CREEK BLVD, SUITE D-4, TAMPA, FL 33647-2988
(813) 766-1691
Mailing address
10323 CROSS CREEK BLVD, SUITE D-4, TAMPA, FL 33647-2988
(813) 766-1691
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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