Individual
DOMINGO RAFAEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN-BSN
Contact information
Practice address
325 NW 74TH WAY, PLANTATION, FL 33317-2298
(954) 404-3181
Mailing address
325 NW 74TH WAY, PLANTATION, FL 33317-2298
(954) 404-3181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9426417
FL
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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