Organization
WOMENS PHYSICIANS OF JACKSONVILLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE RODRIGUEZ M.D. (PRESIDENT)
(904) 296-2441
Entity
Organization
Contact information
Practice address
6879 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-6179
(904) 296-2441
(904) 821-3113
Mailing address
6879 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-6179
(904) 296-2441
(904) 821-3113
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3559243
AETNA
FL
01
—
74713
BCBS
FL
01
—
DC1688
RAILROAD MEDICARE
FL
Enumeration date
03/07/2007
Last updated
04/20/2008
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