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Individual

AMALIA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10000 W COLONIAL DR STE 187, OCOEE, FL 34761-3438
(407) 578-6610
Mailing address
10000 W COLONIAL DR STE 187, OCOEE, FL 34761-3438

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA059523
PA
363A00000X
Physician Assistant
OA004343
PA
363A00000X
Physician Assistant
Primary
PA9110748
FL

Other

Enumeration date
10/20/2017
Last updated
12/15/2017
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