Individual
MRS. EILEEN M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
3030 HARDEN BLVD, LAKELAND, FL 33803-7952
(863) 284-3950
(863) 284-3951
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11011104
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11011104
FL
Other
Enumeration date
01/15/2021
Last updated
07/21/2022
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