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Individual

CHRISTOPHER LYNN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7431 N UNIVERSITY DR, STE 300, TAMARAC, FL 33321-2956
(954) 776-7566
(954) 776-7544
Mailing address
7431 N UNIVERSITY DR, STE 300, TAMARAC, FL 33321-2956
(954) 776-7566
(954) 776-7544

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT 9104753
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA9104753
DEPT OF HEALTH
FL
Enumeration date
09/08/2008
Last updated
04/28/2022
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