Organization
PRIMIS INITIUM HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL J RODRIGUEZ TELLADO MD (PRESIDENT)
(404) 234-9007
Entity
Organization
Contact information
Practice address
1101 OFFICE WOODS DR, PENSACOLA, FL 32504-5937
(404) 234-9007
(850) 474-9060
Mailing address
PO BOX 30120, PENSACOLA, FL 32503-1120
(404) 234-9007
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/18/2026
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