Individual
ORLANDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
3121 RIACHUELO LN, KISSIMMEE, FL 34744-4118
(407) 744-6154
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
24570629
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24570629
NCCAA CERTIFICATION NUMBER
—
Enumeration date
01/05/2019
Last updated
01/05/2019
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