Individual
IHAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
711 E OAK ST, KISSIMMEE, FL 34744-4573
(407) 933-1500
Mailing address
PO BOX 2820, WINDERMERE, FL 34786-2820
(407) 933-1500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55639
BCBS
FL
01
—
648670
ACN UNITED HEALTHCARE
FL
Enumeration date
04/16/2007
Last updated
07/08/2007
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