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Organization

MAURO RODRIGUEZ, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAURO RODRIGUEZ M.D. (PROVIDER)
(727) 600-8090
Entity
Organization

Contact information

Practice address
611 DRUID RD E STE 506, CLEARWATER, FL 33756-3938
(727) 600-8090
(727) 600-8088
Mailing address
611 DRUID RD E STE 506, CLEARWATER, FL 33756-3938
(727) 600-8090
(727) 600-8088

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0024891
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
057718900
FL
01
52915
BLUE CROSS & BLUE SHIELD OF FLORIDA
FL
Enumeration date
04/20/2012
Last updated
11/20/2012
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