Organization
MID FLORIDA MEDICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASCO A RODRIGUEZ D.C. (PRESIDENT)
(407) 583-7130
Entity
Organization
Contact information
Practice address
51 N DOVERPLUM AVE, KISSIMMEE, FL 34758-3308
(407) 583-7130
Mailing address
51 N DOVERPLUM AVE, KISSIMMEE, FL 34758-3308
(407) 583-7130
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME57417
FL
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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