Individual
ALEXIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 COW PEN RD STE 201, MIAMI LAKES, FL 33014-7620
(786) 518-3907
Mailing address
6500 COW PEN RD STE 201, MIAMI LAKES, FL 33014-7620
(786) 518-3907
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
12709
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12709
AHCA
FL
Enumeration date
06/18/2021
Last updated
06/18/2021
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