Individual
ILEANA RODRIGUEZ OLIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23123 STATE ROAD 7 STE 360, BOCA RATON, FL 33428-5489
(561) 420-8111
Mailing address
11001 NW 7TH ST APT 103, MIAMI, FL 33172-3676
(786) 357-9259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11012668
FL
Other
Enumeration date
04/20/2021
Last updated
04/22/2021
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