Individual
RAFAEL MOISES RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N PARSONS AVE STE 105, BRANDON, FL 33510
(813) 653-2775
(813) 653-2775
Mailing address
4102 N MACDILL AVE STE A, TAMPA, FL 33607-6717
(813) 363-7721
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
133170
FL
2084N0400X
Neurology Physician
BP2-0049354
TX
2084N0400X
Neurology Physician
Primary
ME133170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021849400
—
FL
Enumeration date
06/28/2013
Last updated
06/06/2018
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