Organization
LUIS C RODRIGUEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS CARLOS RODRIGUEZ MD (OWNER)
(352) 597-0042
Entity
Organization
Contact information
Practice address
12017 CORTEZ BLVD, BROOKSVILLE, FL 34613-7372
(352) 597-0042
(352) 597-0091
Mailing address
12017 CORTEZ BLVD, BROOKSVILLE, FL 34613-7372
(352) 597-0042
(352) 597-0091
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME55131
FL
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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