Individual
JOSE MANUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
4641 CASON COVE DR, UNIT # 2112, ORLANDO, FL 32811-7429
(787) 420-4084
Mailing address
4641 CASON COVE DR, UNIT # 2112, ORLANDO, FL 32811-7429
(787) 420-4084
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4829
PR
163W00000X
Registered Nurse
19641
PR
163W00000X
Registered Nurse
9340346
FL
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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