Organization
GERARDO J RODRIGUEZ, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO J RODRIGUEZ MD (PRESIDENT)
(352) 383-1245
Entity
Organization
Contact information
Practice address
3801 N HIGHWAY 19A, SUITE 400, MOUNT DORA, FL 32757-2228
(352) 383-1245
(353) 383-4401
Mailing address
3801 N HIGHWAY 19A, SUITE 400, MOUNT DORA, FL 32757-2228
(352) 383-1245
(353) 383-4401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0064748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377581000
—
FL
05
—
377581001
—
FL
Enumeration date
05/06/2007
Last updated
05/06/2008
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