Individual
MISS MICHELLE O RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SURF SCOOTER DR, DAYTONA BEACH, FL 32119-8309
(786) 773-9744
Mailing address
4A ROSE PL, PALM COAST, FL 32164-8947
(386) 262-0380
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/11/2020
Last updated
05/19/2025
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