Individual
GERONIMO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
801 S FEDERAL HWY STE 835, DANIA BEACH, FL 33004-4374
(954) 613-7683
(954) 613-7693
Mailing address
801 S FEDERAL HWY STE 835, DANIA BEACH, FL 33004-4374
(954) 613-7683
(954) 613-7693
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/16/2019
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