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Individual

ELISE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 733-0111
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9307723
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015242900
FL
Enumeration date
04/20/2015
Last updated
09/21/2015
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