Individual
MR. ENRIQUE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
765 CREAKWATER TERRACE, APT. 205, LAKE MARY, FL 32746
(856) 203-5655
Mailing address
765 CREAKWATER TERRACE, APT. 205, LAKE MARY, FL 32746
(856) 203-5655
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238.000374
IL
246ZC0007X
Surgical Assistant
Primary
SA0118
DC
246ZC0007X
Surgical Assistant
—
FL
Other
Enumeration date
04/25/2011
Last updated
08/19/2014
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