Individual
DR. JAIME ALBERTO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406B PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7323
(386) 427-6791
(386) 427-8028
Mailing address
2134 VILLA WAY, NEW SMYRNA BEACH, FL 32169-2069
(386) 427-6791
(386) 427-8028
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME96838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1485608
—
LA
Enumeration date
08/31/2006
Last updated
07/08/2007
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