Individual
DR. JUAN CARLOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2721 DEL PRADO BLVD S STE 200, CAPE CORAL, FL 33904-5783
(239) 673-9034
(239) 673-9102
Mailing address
2721 DEL PRADO BLVD S STE 200, CAPE CORAL, FL 33904-5783
(239) 673-9034
(239) 673-9102
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME60410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023711500
—
FL
Enumeration date
06/15/2007
Last updated
09/25/2019
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