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Individual

ALBERTO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A-C

Contact information

Practice address
10860 SW 88ST SUITE 200, MIAMI, FL 33176-2680
(305) 595-1300
(305) 595-5790
Mailing address
10860 SW 88ST SUITE 200, MIAMI, FL 33176-2680
(305) 595-1300
(305) 275-5790

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100842
FL
363AS0400X
Surgical Physician Assistant
PA9100842
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
291527800
FL
01
U0019
PTAN
FL
Enumeration date
08/15/2006
Last updated
12/12/2013
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