Individual
SOLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
749 SHOTGUN RD, SUNRISE, FL 33326-1934
(954) 907-4869
Mailing address
749 SHOTGUN RD, SUNRISE, FL 33326-1934
(954) 907-4869
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
Primary
R3627181723650
FL
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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