Individual
KENNY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 S DOUGLAS RD, CORAL GABLES, FL 33134-6914
(305) 445-8461
Mailing address
1100 BISCAYNE BLVD UNIT 1501, MIAMI, FL 33132-1734
(305) 223-5237
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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