Individual
DAMARIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 BERMUDA LAKES LN UNIT 202, KISSIMMEE, FL 34741-2165
(407) 346-6620
Mailing address
1222 BERMUDA LAKES LN UNIT 202, KISSIMMEE, FL 34741-2165
(407) 346-6620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5420
—
FL
Enumeration date
10/09/2021
Last updated
10/09/2021
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