Individual
MR. RAYMOND PETER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1200 HARBOR TOWN CIR, MELBOURNE, FL 32940-1911
(321) 254-3264
Mailing address
1200 HARBOR TOWN CIR, MELBOURNE, FL 32940-1911
(321) 254-3264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL393
FL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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